HIPAA & OIG Compliance Plans
Both OIG and HIPAA offer downloadable compliance forms on their respective websites in order to help healthcare professionals develop and monitor internal adherence to the required guidelines. But reviewing compliance requirements is not enough. In order to maintain HIPAA and OIG compliancy, your practice must create a comprehensive plan that includes the following action steps: […]
HITECH Act of 2009
An important part of being HIPAA-compliant is adhering to provisions laid out by the HITECH Act of 2009. HITECH is an act that was created under HIPAA and expands upon the various protections required to be HIPAA compliant. Here’s what you need to know about the HITECH Act and how it impacts your medical practice: […]
The Mystery of Doctor Credentialing
Doctor credentialing is the process by which a third party evaluates the history, qualifications, experience, and ongoing education of a practicing physician or healthcare professional. Credentialing allows insurance companies and patients to ascertain the quality of care they can expect to receive from the doctor in question. It also protects patients by verifying any malpractice […]
What is Fraud Investigation?
Fraud investigation occurs when a state or Federal agency suspects a medical practice of making fraudulent mistakes in their Medicare and Medicaid billing. A fraud investigator can be hired by a private company, the FBI, or the IRS to investigate possible fraud in your practice. Fraudulent claims and patterns of erroneous medical coding are likely […]