Employers Are Anxious about Reform Mandates
Many Compliance Officers Struggle in their Growing Roles
Compliance and Employee Buy-In
To have an effective compliance and ethics program, according to the ACA, an organization “shall (1) exercise due diligence to prevent and detect criminal conduct; and (2) otherwise promote an organizational culture that encourages ethical conduct and a commitment to compliance with the law.
HIPAA Security Explored
A significant provision of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires the Department of Health and Human Services (HHS) to adopt national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. To date, the implementation of HIPAA standards has increased the use of electronic data […]
Ten HIPAA Questions Answered
In this blog, we will review ten questions about the Health Insurance Portability and Accountability Act, or HIPAA. The legislation can seem overwhelming; sometimes breaking it down can make it much easier to digest. Of course to ensure that your organization is prepared to overcome any compliance roadblock, please consult BHM regarding our HIPAA Compliance […]
Fraud and Abuse-False Claims Act in Healthcare
The False Claims Act, as we discussed in our prior post, encompasses any government spending program. Our focus will be on the FCA as it specifically relates to healthcare fraud and abuse. What is The False Claims Act? The FCA was amended again in 1993. Within that amendment, the Attorney General announced that pursuing health […]
The Cost of Healthcare Fraud and Abuse
USA Today Predicts Fraud Prosecutions to Rise by 85%
Kelly Kennedy a reporter for USA Today recently wrote a story about healthcare fraud and abuse, and shared a staggering statistic, according to government statistics “federal health care fraud prosecution in the first eight months of 2011 are on pace to rise 85% over last year” To read the full article please click here Examples […]
From Reform to Fraud and Abuse Prevention
We would like to thank everyone who has visited our blog this month and joined us for our online series about some of the more particular aspects of healthcare reform, particularly our HIPAA 5010 posts. In this blog, we’ll discuss the latest efforts in fraud and abuse prevention. Fraud and Abuse Prevention Reform We understand […]