How to Construct a Medicaid Compliance Program (with Checklist)

The regulatory environment surrounding Medicaid compliance is intricate, shaped by a combination of federal mandates and state-specific regulations aimed at curbing fraud, waste, and abuse within the healthcare system. Healthcare providers engaged in Medicaid must manage this complex web of laws, which includes statutes like the False Claims Act, the Anti-Kickback Statute, and various state-level reforms.
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Mastering Medical Billing Compliance for Healthcare Practices

Mastering Medical Billing Compliance for Healthcare Practices

Medical billing plays a crucial role in ensuring healthcare providers are accurately reimbursed for their services while maintaining compliance with payer and regulatory requirements. Proper billing practices prevent claim denials, reduce financial risks, and ensure transparency in patient care. As public program enrollments grow, compliance becomes even more critical to maintain accuracy and trust in every transaction.
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