It is a definite possibility, as many healthcare providers are being constantly scrutinized.
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Many whistleblower lawsuits are brought by employees, or former employees, who have inner knowledge of the workings of your practice. These claims can are often kept under seal and not publicized for years.
In some cases, the U.S. Justice Department will join in on lawsuits against the healthcare provider or insurer.The government often joins in on lawsuits alleging that physicians overbilled Medicare or Medicaid.
How to you prevent your practice from being investigated by the federal government?
Unfortunately, you can’t be 100% immune to investigation. However, what you can do is be 100% compliant with the law.
Ensure that your compliance plan is up to date and active. Make sure that your employees are trained regularly and aware of your HIPAA policies and procedures.
It is essential that your employees be engaged in your compliance activities. Conduct regular training programs and perform routine audits to catch upcoding and billing errors.
We help our clients update their risk assessments and stay compliant with all federal regulations.
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P.S. If you or your patients are interested in consumer healthcare issues, check out myhealthspin.com.