On the Heels of Medicare Fraud Sweep, Advice on Creating a Compliance Program

On the Heels of Medicare Fraud Sweep, Advice on Creating a Compliance Program

Recently we told you more than 300 people were charged with healthcare fraud involving some $900 million in false billings. Surely some were out to juke the system, but others were probably guilty of nothing more than poor compliance practices. Either way, the government is likely to continue cracking down on this multibillion dollar waste, making it a prudent time to shore up your own compliance program (as required under the Affordable Care Act [ACA, …

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Identifying Risks and Finding Shelter in an Urgent Care Compliance Program

Identifying Risks and Finding Shelter in an Urgent Care Compliance Program

Urgent message: The escalating pressure on the industry to decrease health care costs has resulted in an increase in audit activity from government and private payors for everything from billing and coding to HIPAA and kickbacks. Therefore, it’s more important than ever for urgent care centers to build a culture of compliance. DAMARIS L. MEDINA The health care industry is in the throes of a dynamic regulatory enforcement climate. Federal and state regulators and third-party …

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