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How to Conduct Effective Compliance AuditsĀ 

American Medical Compliance

The healthcare industry is highly regulated, with various laws such as the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), and the Medicare and Medicaid Services (CMS) regulations shaping operations.

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How to Implement Behavioral Health Compliance Best Practices

Relias

To help you better manage your organization’s various compliance needs, let’s delve into what behavioral compliance entails and some best practices to keep in mind. Some of these challenges are common occurrences that can crop up despite staff’s best efforts. Others are less common but are good to be aware of nonetheless.

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Reducing Errors in Revenue Cycle Management: Documentation and Coding

Relias

In an ideal world, accurate documentation and precise coding should ensure smooth claims and timely payments, but even small missteps can cause major disruptions. Reducing errors in revenue cycle management, such as documentation and coding errors, can help prevent some of most persistent threats to healthcare revenue integrity.

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CPD made easy – The experts’ guide to continuing professional development

Nursing Review

CPD is crucial for the maintenance of high quality care and the protection of the Australian public, ensuring all health professionals stay up to date with best practices, medical advancements and new digital health resources. Or do it yourself by downloading a copy of NMBA Sample template for documenting CPD here.

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HIPAA: What You Can and Can’t Disclose

Nurse Practitioners in Business

Best Practices I think it’s safe to say that nobody reading this article wants to violate HIPAA rules intentionally. To minimize or avoid them altogether, it’s best to act proactively and adopt best practices when it comes to HIPAA. But mistakes can and do happen.

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Healthcare Providers’ Role in Preventing Fraud, Waste, and AbuseĀ 

American Medical Compliance

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. Through accurate documentation, ethical billing practices, continuous education, and robust internal controls, providers can significantly lessen FWA risks.

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Understanding FWA Compliance in Healthcare

American Medical Compliance

Let’s explore its significance, key regulations, challenges, and best practices. The Significance of FWA Compliance FWA includes activities that defraud healthcare programs, waste resources, or abuse the system. In this comprehensive guide, we delve into FWA compliance in healthcare.