A yielding; as to a desire or a demand.
The act of complying; a yielding; as to a desire, demand, or proposal.
The act of complying; a yielding; as to a desire, demand, or proposal or concession.
The act of complying; a yielding; as to a desire, demand, or proposal; concession; submission.
All of the above
Our inability to respond to Medicare payor medical records demands.
Our ability to pay for, or induce more referrals from our referral sources.
Our relationships with referral sources and our submission of information to payers and regulatory agencies.
The fact that healthcare is a highly regulated industry.
The Anti-kickback statute
The Anti-solicitation provisions
The Stark Law
The False Claims Act
Civil Monetary Penalty
Falsely certifying that services were medically necessary
Billing for durable medical equipment and/or supplies not delivered
Accidentally disclosing a patient’s protected health information to another organization without an authorization from the patient.
Soliciting, offering or receiving a kickback, bribe or rebate in exchange for patient referrals.
Up to $15,000 for each service with the refund of illegal amounts added in
5 years imprisonment and $10,000 for each claim billed in violation
$25,000 and loss of federal provider status
No penalties assessed
Health care is highly regulated –specifically federal healthcare payor programs.
Many activities that are perfectly legal in other industries are not legal in the health care field.
Complying makes good business sense as an effective compliance program helps organizations identify and address specific risk areas.
Federal and state governments are increasing enforcement actions against out-of-compliance providers and suppliers.
All of the above.
1.Compliance with Laws and Regulations
2.Stock and securities trading
3.Billing and Financial Accounting
4.Conflicts of Interest
7.Assignment of Inventions
8.Physician Orders/Medical Documentation
9.Confidential Business Information
10.Employees’ Right and Obligations
11.Privacy of Medical Information
12.Health Insurance Premium Increases
14.Antitrust and Trade Regulation
17.Reporting of Violations
18.Discipline for Violations
1.Federal Anti-kickback Statute
2.Managed Health Care Laws
4.Medicare Anti-Solicitation Statute
5.Medicare Anti-Inducement Statute
6.State Anti-Kickback Statute
7.False Claims Laws
8.Civil Monetary Penalty Law
Depends on the specifics of the job
Health Insurance Portability Act of America
Health Insurance Portability and Accountability Act
Hi-Tech Insurance Portability Accountability Act
Health Insurance Purchase and Accounting Act
Protected Health Information and Personally Indentifiable Information
Protected Health Identification and Personally Identity Information
Pro-rated Health Information and Purposeful Identifiable Information
Private Health Information and Personal Information and Identity
During the course of treatment, payment and operations
At any time, so long as we call and notify the patient
Never, we always need an authorization from the patient
It depends on state laws governing privacy information