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Key Areas Prosecutors Will Consider When Evaluating Your Compliance Program
Not being compliant with healthcare rules and regulations makes your organization vulnerable to a HIPAA breach or fraud. If either of these issues occur, government agencies like the OCR will step in to investigate the situation. As a compliance professional, you can use your knowledge of what prosecutors will consider when evaluating compliance programs to reflect on the items that your own organization’s compliance program should address.
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| Categories: AIHC Free CEU Articles, AIHC Professional Articles, Compliance | Tags: HHS, OCR, CMS, CMS Center for Program Integrity, DOJ, OIG, FBI, Providers, HIPAA Covered Entities, False Claims Act, Anti-Kickback Statute, Compliance, Ethics, Health Care Fraud, Billing, Telehealth, Telemedicine, Healthcare Employees, Healthcare Employers, Training, Healthcare Payers, Medicare and Medicaid, Prosecutors, Compliance Program, Corporate Compliance | View Count: (317)
16

The Link Between Healthcare Fraud and Tax Fraud

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The Link Between Healthcare Fraud and Tax Fraud
The majority of healthcare provider c-suite executives go to great lengths to ensure that coding and reimbursement is appropriate. However, your organization may sometimes find that a billing error has generated unintentional long-term overpayments. When this happens, your organization must not only address the overpayment situation but also be aware of any tax-related implications.
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| Categories: AIHC Professional Articles | Tags: IRS, DOJ, Providers, False Claims Act, Compliance, Ethics, Revenue Cycle, Audit, Forensic Audit, Health Care Fraud, Coding, Billing, Healthcare Employees, Healthcare Employers, Healthcare Payers, Medicare and Medicaid, Prosecutors | View Count: (563)
03

Addressing Harassment as a Healthcare Employer

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Addressing Harassment as a Healthcare Employer
Do you know what behaviors constitute harassment? Awareness about this issue is important for everyone, not only for comfortable workplace environments but also because it is a legal issue. Creating a hostile work environment by harassing someone based on their sex, race, nationality, or religion is against the law. Period. If there are allegations of harassment at your organization, an internal audit should be conducted to verify the allegations.
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| Categories: AIHC Professional Articles | Tags: EEOC, Providers, Ethics, Healthcare Employees, Healthcare Employers, Harassment, Sexual Harassment, Training | View Count: (295)
Five Vaccines You Should Have If You Work In Health Care
Vaccination is a key part of lifelong health care. While the vaccines you received as a child provided you with a lot of protection from dangerous illnesses, there are also vaccines you should receive as an adult that are just as important. In celebration of this year’s World Immunization Week, we would like to review some of the key vaccines that adults, particularly those who work in healthcare, should receive as part of their own care.
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| Categories: AIHC Professional Articles, Mental and Physical Health | Tags: WHO, CDC, FDA, Providers, CDI, Healthcare Employees, Training, Immunization, Vaccines, Tetanus, Diphtheria, Pertussis, Whooping Cough, Influenza, Flu, Chickenpox, Hepatitis B, Meningococcal Diseases, Meningitis | View Count: (311)
What You Need to Know About Email and HIPAA Compliance
Many of us use email so regularly that we can sometimes forget about the potential risks associated with it. When it comes to healthcare, there are 152 HIPAA breaches currently being investigated by the OCR that have cited email as the breach location. If you need to send health information to patients or other providers, how do you determine if email would be compliant with your organization’s HIPAA privacy and security requirements?
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| Categories: AIHC Professional Articles, Cybersecurity, HIPAA Privacy and Security | Tags: HHS, OCR, ONC, NIST, FTC, Providers, HIPAA Covered Entities, HIPAA, Security, Privacy, Compliance, Cyberattacks, Health IT, Healthcare Employees, Training | View Count: (457)
Understanding Munchausen Syndrome and New 2019 Coding Guidelines
What do you do when you suspect that one of your patients is faking their medical symptoms? In some cases, you may find yourself looking for signs of a rare disorder connected with this type of behavior called Munchausen Syndrome. In this article, we discuss not only some common warning signs of this condition that you might encounter but also how to code it accurately once it is verified.
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| Categories: AIHC Professional Articles, Mental and Physical Health, AIHC Free CEU Articles | Tags: Providers, CMS, Coding, ICD-10, ICD-10-CM, Healthcare Employees, Training, Munchausen Syndrome, Munchausen Syndrome by Proxy, Factitious Disorder, FBI, DSM-5, Continuing Education | View Count: (678)
07

How Blockchain Can Enhance Healthcare Cybersecurity

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How Blockchain Can Enhance Healthcare Cybersecurity
When patients come to you for treatment or medical care, they expect that you will keep their information secure and protected. With an ever-changing cybersecurity environment, you always need to be on the lookout for new tools, like blockchain, that can help keep patients’ data secure at your organization. The important question is: Is blockchain capable of providing the security needed to protect patient health information?
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| Categories: AIHC Professional Articles, Health IT, HIPAA Privacy and Security, Cybersecurity | Tags: HHS, ONC, NIST, CDC, MIT Media Lab, HIPAA, Security, Privacy, Cyberattacks, Blockchain, Health IT, EHR, Healthcare Employees, Training, Healthcare Payers, Insurance Coverage, Audit | View Count: (555)
21

Fraud Doesn’t Pay for Healthcare Providers

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Fraud Doesn’t Pay for Healthcare Providers
An EHR vendor recently agreed to pay over $57 million to resolve allegations that it had caused its users to submit false claims to the government. With other recent Justice Department cases, it has become clear that this is not a unique occurrence. Fraud can happen at any type of healthcare organization, and the penalties are always high. Between fines, settlement agreements, exclusion from federal programs, and jail time, one thing is clear: fraud is not worth it.
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| Categories: AIHC Professional Articles | Tags: DOJ, OIG, Providers, Compliance, Audit, Forensic Audit, Health Care Fraud, Billing, EHR, Healthcare Employees, Training, Healthcare Payers, Medicare and Medicaid, False Claims Act, Anti-Kickback Statute, Stark Law, Compliance Program | View Count: (537)
Heart Health and Compliance: Reflections for American Heart Month
February is a month filled with hearts. With the endless rows of heart-shaped boxes at the store, internal debates about the health merits of chocolate, and reminders of American Heart Month, you cannot escape discussions surrounding this important organ. Healthcare providers can keep hearts healthy for Valentine’s Day this year by working with patients to help manage their risk factors for heart disease, like high blood pressure or cholesterol.
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| Categories: AIHC Free CEU Articles, AIHC Professional Articles, Mental and Physical Health | Tags: CDC, Department of Veterans Affairs, National Institutes of Health, Providers, HIPAA Covered Entities, HIPAA, Security, Privacy, Compliance, CDI, Coding, ICD-10, ICD-10-CM, Mobile Devices, mHealth, EHR, Continuing Education, Healthcare Employees, Training, Heart Health | View Count: (475)
Care, Coding, and Cybersecurity: Healthcare Applications of Artificial Intelligence
In some ways, AI can almost be like an employee, requiring training before fulfilling its purpose. In healthcare, AI has the potential to support everything from patient care to cybersecurity. As opportunities for healthcare applications of AI increase, it becomes even more important that both the individuals developing these programs and people using AI programs at work have obtained the training needed to ensure success.
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| Categories: AIHC Professional Articles, Cybersecurity, Health IT | Tags: Department of Veterans Affairs, Agency for Healthcare Research and Quality, FDA, Small Business Innovation Research, Government Accountability Office, CMS, OIG, Providers, HIPAA Covered Entities, HIPAA, Security, Compliance, Coding, Billing, ICD-10, ICD-10-CM, ICD-10-PCS, Cyberattacks, Artificial Intelligence, Texting, Healthcare Employees, Training, Diabetes, Mental Health | View Count: (456)
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Articles written by the American Institute of Healthcare Compliance are under Copyright Notice: © 2016-2019 American Institute of Healthcare Compliance, Inc. All Rights Reserved. Views expressed through RSS feeds or remarks made on this blog or website are solely those of the original authors and other contributors and do not necessarily represent those of the American Institute of Healthcare Compliance and/or staff.