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CMS Behavioral Health Billing Guidelines: Simplified for Outpatient Providers

Medisys Compliance

Providers must use HIPAA-compliant telehealth platforms and ensure informed consent is documented in the patients record. Avoid fraud: Ensure billing accurately reflects services rendered. Place of service (POS): Typically, use POS 02 (telehealth) or POS 10 (patients home) to specify the service location.

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What is Non-Compliance in Healthcare?

MedTrainer

Here are some common non-compliance activities: Failure to Maintain HIPAA Compliance: The Health Insurance Portability and Accountability Act (HIPAA) sets strict guidelines for safeguarding patient health information. Non-compliance includes improper hand hygiene, inadequate sterilization of medical equipment, and poor sanitation practices.

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OIG Advisory Opinion Alert: Yet Another Favorable Decision for Medical Device Manufacturers

Healthcare Law Blog

Like these other AOs, OIG found that while the Proposed Arrangement could generate fraud and abuse risks under both the Federal anti-kickback statute (i.e., Section 1128A(a)(5) of the Act), the Proposed Arrangement nevertheless presented a minimal risk of fraud and abuse under the law on the facts presented.

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Topics Covered in Healthcare Compliance Training

MedTrainer

Why Is Compliance Training and Education Important?

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Healthcare Regulatory Services: Ensuring Compliance & Quality Care

Compliancy Group

Reducing Fraud & Abuse Healthcare regulatory services play a crucial role in detecting and preventing fraudulent activities such as: Insurance Fraud Improper Billing Practices Unnecessary Procedures By doing so, they protect patients from financial exploitation and contribute to overall cost-containment efforts within the healthcare industry.

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Federal and State Healthcare Compliance Requirements

MedTrainer

These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.

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Introduction to Telebehavioral Health

AIHC

Click Here for OCR’s guidance “ How the HIPAA Rules Permit Covered Health Care Providers and Health Plans to Use Remote Communication Technologies for Audio-Only Telehealth ” Comply with Consent Requirements Most states have telehealth specific informed consent requirement in their statute, administrative code and/or Medicaid policies.