OIG Compliance Program Elements The Patient Protection and Affordable Care Act of 2010 (PPACA) made Office Compliance Programs mandatory for all physician practices as a condition of enrollment in Medicare, Medicaid, and/or CHIP. These compliance programs must address certain core elements.1 The core elements are derived from the Federal Sentencing Guidelines for an effective compliance…
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An Overview of Fraud, Waste, and Abuse These are terms that healthcare providers hear from third-party payers and government program agencies. Most third-party payers require some form of FWA training on an initial and annual basis for all employees of healthcare businesses. As part of a viable Compliance Program, this training is constantly updated and…
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You could call OIG and HIPAA close cousins. They do have some similarities, but they are completely different programs. This tutorial will provide a side-by-side comparison of what they have in common and how they differ.
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What You Need to Know There is a great deal of uncertainty regarding the differences between an OIG Compliance program and a HIPAA Compliance program. Although every practice has the right to develop its own unique plan to suit its size and services, a clinic cannot choose one over the other. An effective office compliance…
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Download Reference Documents The following resources provide an overview of the key aspects of HIPAA privacy. Please download these resources and keep them as a reference. You will want to view each one prior to completing the self-assessment for this module, as the content is considered part of the training. HIPAA Administrative Simplification
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Download Support Tools The following resources provide an overview of the key aspects of HIPAA privacy. Please download these resources and keep them as a reference. You will want to view each one prior to completing the self-assessment for this module, as the content is considered part of the training. HIPAA Terminology and Acronyms Identifying…
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