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Healthcare Compliance for New Providers: Getting Started

American Medical Compliance

CMS (Centers for Medicare & Medicaid Services) These regulations provide essential guidelines for healthcare providers participating in Medicare and Medicaid programs. Conduct regular risk assessments to identify potential compliance issues and areas for improvement.

HIPAA 105
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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Yet coding mistakes can mean lost revenue, or worse — fines, compliance, and legal issues. Spectrum Health’s Clinical Documentation Integrity (CDI) team educates providers to bridge knowledge gaps. They were educated in the rules and regulations of coding. Undercoded Complex Hospital Admissions.

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Yet coding mistakes can mean lost revenue, or worse — fines, compliance, and legal issues. Spectrum Health’s Clinical Documentation Integrity (CDI) team educates providers to bridge knowledge gaps. They were educated in the rules and regulations of coding. Undercoded Complex Hospital Admissions.

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Do’s and don’ts of defensive documentation

American Nurse

Finally, deliberately falsifying documentation (such as submitting false claim to Medicare) can subject nurses to sanctions under the federal False Claims Act. This include providing education (both verbal and written): If a patient suffers harm as a direct result of not following instructions, this information can protect you.