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Monitoring your healthcare populations creates operational complexity and financial risk for compliance teams.
Resources required for effective compliance monitoring are limited.
Our estimates show that it takes up to hundreds of hours every month to monitor even just a handful of employees for exclusions and verify all false positives. It’s no secret that this manual verification is prone to error and risk. Realize freedom from a manual process and reallocate your team’s time.
Changing regulations make it hard to maintain compliance.
We all know healthcare is constantly changing when it comes to legislation and auditing requirements. We help compliance professionals grow and succeed with advanced reporting solutions and free educational resources.
Operational compliance risk can be tough to identify.
How are you mapping the risks within your organization and keeping each facility accountable? Learn how to create a system of checks and balances.
Fines and penalties create a devastating effect on your organization.
Civil fines and penalties can be assessed by the OIG with more than $20,000 per each item claimed or services provided, plus treble damages. Reduce your risk with a comprehensive monitoring solution.
Six Tips for Navigating Continuous Change
As organizations work to adapt to a quickly changing market, some processes and behaviors will be altered for the long term, and some will continue to adapt. Get the tip sheet and learn how to help your compliance department adjust to continued change.
Resources to help Compliance teams grow & succeed.
The Interoperability Rule, currently slated to go into effect in 2021, impacts provider network data for health plans in addition to significant implications for patient health data requirements.
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In this post, we’ll provide a framework for refining ownership of provider data and eligibility monitoring in your organization and explore the most common accountability structures we see with health plan clients.