Understand and manage clinical and financial risk. How SAS Detects and Prevents Health Care Fraud, Waste and Abuse Fraud, waste and abuse in health care divert billions away from patient care annually. Faster, more aggressive investigation and detection of key risk indicators at every stage of the...
Senate Finance Committee has outlines recommendations from more than 160 stakeholders in the health care community regarding ways to improve federal efforts to tackel waste, fraud, and abuse in the Medicare and Medicaid programs in the U.S.
Healthcare fraud, waste, and abuse continue to be a problem for public and private programs. Each year, the Department of Justice (DoJ) reports on the major cases and takedowns involving physicians, pharmacists, and other medical providers. RevCycleIntelligencebreaks down some of this...
finHealth helps self-insured employers reduce total healthcare spend by 2-10% through real-time claims analysis to identify and address healthcare errors, waste, fraud and abuse.
UnitedHealthcare is committed to preventing fraud, waste and abuse in Medicare benefit programs and we're asking for your help. If you think you've seen or been a victim of fraud, please report it to us immediately. Not sure if what you've seen is fraud? We can help you with that,...
This second edition provides updated resources and tools that medical practices need to ensure compliance. It helps physicians understand the implications of the fraud and abuse laws in their day-to-day practice. Also included are effective compliance actions that even the smallest practice can afford...
Brad Smyer and fellow panelists present an overview of health care fraud and abuse laws and discuss recent enforcement trends. The discussion: Identifies significant federal and state fraud and abuse laws, including the Anti-Kickback Statute and Stark Law and their state counterparts. Discusses ...
It details the latest efforts of the Inspector General’s Health Care Fraud and Abuse Control Program (“HCFAC”), which has been at work for the past 25 years in a coordination of “…Federal, state, and local law enforcement activities with respect to health care f...
To mitigate risks, healthcare organizations should ensure fair and transparent compensation arrangements, implement effective compliance programs, take whistleblower claims seriously, and seek legal guidance to navigate Stark Law complexities. Tags False Claims Act, Fraud & Abuse, Stark Categories Health ...
Healthcare Fraud & Abuse annual review,click here. PreviousNext ADDITIONAL RESOURCES Read the latest news and commentary related to the False Claims Act, healthcare fraud and procurement fraud issues, and compliance for COVID-19 relief fund recipients. ...