It certainly comes as no surprise to members of radiology practices to suggest that the today's health care fraud enforcement climate is very different from that of even a few years ago. The amount of resources dedicated to enforcement activities has grown dramatically each year since 1992. ...
Integrating the concept of healthcare data governance, it’s essential to recognize the role of data governance in healthcare. Healthcare data governance is a subset of healthcare governance focused on the proper management, security, and utilization of data within the healthcare setting. It is c...
The major benefit of using healthcare data analytics is the utilization of the large amount of data lying here and there. EHRs are a means to store patient-related data in an organized manner. They are like digital records that can be accessed anytime by the concerned parties for the patien...
Technology-enabled services.This segment offers financial and administrative management, value-based care, communication, pharmacy benefits administration and healthcare consulting services. The inclusion of AI tools for analytics and operational efficiency is central to this offering. Additionally, Change Hea...
Today, complete medical records currently sell for as much as $1,000 on the Dark Web. It is no surprise that healthcare call and contact centers are prime targets
Fraud protection and prevention includes the policies and processes you put in place to stop fraud from occurring in the first place. While there is no foolproof solution to stop all fraud, there are measures you can put in place that can help mitigate risk. By focusing on the most common ...
Fraud can be committed in different ways and different settings, including banking, insurance, government and healthcare sectors. A common type of banking fraud is customer account takeover, where someone gains unauthorized access to a victim's bank account usingbots. Other examples of fraud in ba...
Fraud detection for health care Learn About Other Industries Select industry How Fraud Prevention Works Fraud detection and prevention is not a static process. There’s no starting and ending point. Rather, it’s an ongoing cycle involving monitoring, detection, decisions, case management and learnin...
When is open enrollment if I get health insurance through my work? If you get health insurance through work, your employer sets the open enrollment period. It’s typically in the fall so that your benefits can start at the beginning of the calendar year.Choosing a health care plan for the...
Healthcare is a worthwhile and respected job in the community but there are necessary ethical and legal responsibilities that have to be considered while working it. Learn more about healthcare ethics, healthcare fraud, negligence and its effects. Related...