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Fraud, Waste, and Abuse (FWA) Refresher Training

American Medical Compliance

Staying informed about the latest policies, best practices, and reporting requirements is essential for healthcare professionals to mitigate risks and uphold ethical standards. Understanding these regulations is essential for healthcare providers and administrators to ensure compliance while maintaining ethical business practices.

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Understanding FWA Compliance in Healthcare

American Medical Compliance

Let’s explore its significance, key regulations, challenges, and best practices. The Significance of FWA Compliance FWA includes activities that defraud healthcare programs, waste resources, or abuse the system. In this comprehensive guide, we delve into FWA compliance in healthcare.

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Healthcare Providers’ Role in Preventing Fraud, Waste, and Abuse 

American Medical Compliance

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. For instance, unnecessary tests or procedures are ordered. Abuse These practices may not be fraudulent. As a result, there will be costs not necessary.

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Innovations in Behavioral Healthcare: A Digital Path to Resilience

Relias

Salesforce , one of the foremost technology companies in the world: “Digital transformation is the process of using digital technologies to create new — or modify existing — business processes, culture, and customer experiences to meet changing business and market requirements. Medicaid beneficiaries use telehealth services.

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Revenue Cycle Management Outsourcing: Training Must Be Top of Mind

Relias

One wants to consider vendors that are known to be leaders in the field, in terms of number, volume and size of clients; years in business; and proven performance,” said Woerly. I tell people all the time: An outsource partner is an extension of your business office,” said Phillip E. There are some caveats, however.

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Nurse-Midwives Can Practice without Physician Supervision in North Carolina

Scrubs

I put together a business plan with a friend of mine who’s a business consultant. We’ve got to move forward and use our evidence-based health care and best practices to address the maternal mortality crisis.” I had that hope because we had such a need. They were so excited. That’s not an evidence-based health care state.

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2022: The Year of the Value of the Nurse

Capitol Beat

This year was a busy and turbulent time for all of us as we continued to navigate life under the COVID-19 pandemic—and nobody knows this more than nurses and healthcare workers. If enacted, this bill will remove practice barriers for advanced practice registered nurses (APRNs), improving access to care for Medicare and Medicaid patients.