fraud waste abuse healthcare compliance

FWA in Healthcare: How to Respond Appropriately to Detected Offenses

Fraud, Waste, and Abuse (FWA) can have serious implications for the healthcare industry, affecting patient care, financial stability, and organizational integrity. Detecting and responding to FWA offenses promptly and appropriately is essential to protect the well-being of patients, uphold ethical standards, and maintain regulatory compliance.
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Unlock the power of employee hotlines: How to create a culture of compliance, transparency, and accountability in healthcare.

Discover the potential of employee hotlines in fostering a culture of compliance, transparency, and accountability within healthcare organizations. Our latest blog delves into the essential questions surrounding employee hotlines, discussing their significance, benefits, and best practices for successful implementation.
Exclusion Screening Requirements for Healthcare Entities: Ensuring Compliance and Protecting Your Organization

Exclusion Screening Requirements for Healthcare Entities: Ensuring Compliance and Protecting Your Organization

One crucial aspect healthcare entities must prioritize in the ever-evolving landscape of healthcare regulations is exclusion screening, which is the process of checking individuals and entities against various exclusion lists to ensure compliance with federal and state regulations. Failing to comply with these requirements can have serious consequences for your organization. Read on to explore the importance of exclusion screening, its benefits, and how partnering with the right experts can help you navigate this critical aspect of healthcare compliance.

A Closer Look at the FTC and the Poaching of PHI

Join Rachel V. Rose's complimentary webinar on May 16, 12-1 pm ET, to learn about the increasing role of the Federal Trade Commission in the poaching of protected health information. The session will cover federal government initiatives, recent enforcement actions, risk mitigation measures, and implications of not obtaining appropriate consent.

A Harassment-Free Workplace vs the Right to Engage in Concerted Activity

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1st Talk Compliance features guest Lauren Moak Russell, Counsel at Young Conaway Stargatt & Taylor, LLP in Wilmington, Delaware, on the topic of “A Harassment-Free Workplace vs the Right to Engage in Concerted Activity.” Lauren joins our host Catherine Short to discuss how the National Labor Relations Board under the Biden Administration has expressed a renewed interest in expanding its influence into non-unionized work forces. This includes reviewing and--in the right circumstances challenging--employers' use of workplace civility, confidentiality, and anti-harassment policies. Listen as we discuss what you need to know to safely navigate the National Labor Relations Act while ensuring that your employees enjoy a safe and respectful work environment.

Healthcare Compliance: Costs vs Benefits

Implementing a compliance program may seem like a daunting task-there are many steps necessary to comply with all regulations in health care and an effective compliance program requires time and resources that are likely allocated to other priorities within the organization. Nevertheless, an effective compliance program is crucial to the existing operations of the business. View our infographic to find out the risks of being reactive and the benefits of being proactive.
First Healthcare Compliance to Showcase Compliance Solutions at the 27th Annual Compliance Institute in Anaheim, California

First Healthcare Compliance to Showcase Compliance Solutions at the 27th Annual Compliance Institute in Anaheim, California

First Healthcare Compliance, a division of Panacea Healthcare Solutions will showcase a range of software and learning solutions at both the Healthcare Compliance Association’s (HCCA) 27th Annual Compliance Institute, to be held April 23-26 at the Anaheim Convention Center in Anaheim, California, and the Virtual Conference, April 24 – 26.

A Practical Approach to The Safe Harbor Law

1st Talk Compliance features guest Raymond Ribble, CEO and Founder at SPHER, Inc., on the topic of A Practical Approach to The Safe Harbor Law. Ray joins our host Catherine Short to discuss how HIPAA data breach penalties typically get measured in millions of dollars, even following an organization implementing NIST cybersecurity framework measures. However, with the new HIPAA Safe Harbor Law, signed in January 2021, HHS and OCR may consider some penalty mitigation. It is important to understand that the Safe Harbor Law, while offering substantial protection, does not provide a true safe harbor and only offers some protection. This episode will examine what the established security practices for healthcare are, and how to pivot your organization's security profile to mitigate breach penalties if an event occurs.
Legal Risks With Health Data Sharing: Q&A

Legal Risks With Health Data Sharing: Q&A

Shareholder Iliana L. Peters of Polsinelli PC recently held the informative webinar Health Data, A Value Proposition: Legal Risks with Innovative Data Sharing Projects joined by Catherine Short and First Healthcare Compliance. Read more from Iliana and Catherine's question and answer session related to the risks and issues involved with data sharing projects.

Data Mine Your Claims

In today’s healthcare environment, there is increasing pressure to cut costs and it is more important than ever to find ways to quickly and efficiently identify coding and billing issues. Amidst a time of shrinking operating margins and heightened scrutiny by federal healthcare contractors, providers are seeking to focus on the benefits of technology-driven internal auditing. Learn more about how to stay ahead of payer audits by mining your own data from your claims to identify areas of risk and proactively fix potential issues.