Know the Differences Between OIG and HIPAA 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…
FDR Guidance
First Tier, Downstream and Related Entities (FDR) Guide Aetna’s in-depth guide to the FDR Medicare Compliance Program is an excellent resource for new employees and for seasoned employees who must deal with an unusual or new situation with one of your Medicare patients. It addresses the attestation requirements for the program in detail and explains…
Fraud, Waste & Abuse (FWA)
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…