Webinar Recording: Health Care Fraud and Abuse: What you need to do nowBrian K. FrenchMichele A. MasucciRegina S. RockefellerRebecca Simone
The time to consider these healthcare fraud and abuse issues is when a digital-health innovator is trying to determine how to transform its potential life-changing invention into a viable business plan. Within the sphere of digital health, who is involved may be more important...
What is the Scope of the Computer Fraud and Abuse Act?Employer Protections Under the CFAATimeline of Notable CFAA Amendments and Court CasesHow Can UpGuard Help? The U.S. Federal Government passed the Computer Fraud and Abuse Act (18 U.S.C.§1030) (CFAA) in 1986 as an amendment to the...
Artificial intelligence(AI) in healthcare is a catch-all term to describe the use of algorithms trained bymachine learning(ML) in three major categories of the healthcare market: the application of healthcare (life sciences), the provision of healthcare (providers), and the consumption of healt...
How does Verisys help with risk management in healthcare? Mitigating Provider Risk:Verisys’ solutions, such asFACIS® (Fraud Abuse Control Information System), provide in-depth screening and continuous monitoring of healthcare professionals against the largest dataset of disciplinary actions and exclu...
What is the purpose of HIPAA? HIPAA, also known as Public Law 104-191, has two main purposes: to provide continuous health insurance coverage for workers who lose or change their job and to ultimately reduce the cost of healthcare by standardizing the electronic transmission of administrative an...
Impairment to medical treatment or care. Physical injury to any individual. Threat to public health or safety. The 1994 amendment paved the way for private corporations to sue current and former employees suspected of revealing trade secrets and other proprietary information to competitors. ...
Regulatory compliance is a critical aspect of the healthcare industry, with various regulations like HIPAA, OSHA, FWA, and general compliance requirements that ensure high-quality care. These regulations aim at protecting patient privacy, and worker safety, and preventing fraud, waste, and abuse ...
When a patient walks into a doctor’s office, they want to feel confident that the healthcare professional they’re seeing is qualified, experienced, and trustworthy. That’s where provider credentialing comes in. Provider credentialing is the formal process by which healthcare organizations verify ...
CAPTCHA is a security tool that verifies human users by presenting challenges like distorted text or image identification, distinguishing them from automated bots to protect online platforms from abuse and fraud. When entering credentials or credit card information on websites, you might be asked to ...