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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

Healthcare Compliance, Healthcare Technology, Data Management

The Future of Healthcare Compliance Dashboards

Posted by Michael Rosen, ESQ on Tue, Oct 10, 2017

It’s hard to fathom where the digital world is taking us with how frequently our lives are changing by new technology, impacting both our work and personal lives. When most of us crave instant access and simplicity, more and more tools are being developed to help us measure, record, and evaluate. Insert artificial intelligence, algorithms, and complex information systems and your head can start to hurt with the possibilities.

Aggregated data and dashboards have become a commodity, but not all of these are created equal. Let’s explore some predictions for how we will be interacting with data in the future as healthcare and compliance professionals. 

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Industry News, Medicaid, Data Management

New Mexico Takes Aim at Medicaid Fraud and Abuse

Posted by Donna Thiel on Tue, Aug 01, 2017

New Mexico’s Attorney General Hector Balderas takes Medicaid fraud very seriously, and late last week announced several new initiatives to weed out Medicaid fraud in his state. For the first time in New Mexico’s history, the Attorney General has requested and received a waiver from the federal government to allow the Office of the Attorney General to proactively search through data to identify patterns of fraud.

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Data Management, Compliance Plan, Compliance Data, Compliance Dashboard

The Importance of a Compliance Dashboard

Posted by Donna Thiel on Thu, May 18, 2017

Compliance moves fast these days, with all of us wanting information at our fingertips. As a former Chief Compliance Officer of a very large post-acute care company, I know how much data is available and how difficult it can be to turn that data into something useful or meaningful.

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OIG Exclusion List, Healthcare Compliance, OIG, Healthcare Technology, Vendor Compliance, Data Management

Vendor Compliance Goes Beyond Employee Monitoring (Beyond Employee Monitoring eBook)

Posted by Michael Rosen, ESQ on Thu, Mar 02, 2017

Our latest eBook, Beyond Employee Monitoring: Vendors, Contractors and Third Parties, dives into the complexities of vendor monitoring. From digesting new regulations to discussing best practices, we hope this book helps you tackle your job with confidence. 

Download our free Beyond Employee Monitoring eBook here to kick start your vendor monitoring process.

Our eBook journey began with the release of The Ultimate Guide to Exclusion Monitoring. It covers everything you need to know about Office of Inspector General (OIG) exclusion monitoring and the OIG's regulations surrounding monthly monitoring and exclusion databases. We received an overwhelming amount of positive feedback for our exclusions eBook, so we decided to tackle the ins and outs of vendor monitoring as well. This 40+ page read covers the details and risks of not complying with OIG regulations as it pertains to vendor monitoring.

We're happy to announce an addition to our eBook collection! Our newest eBook, Beyond Employee Monitoring: Vendors, Contractors and Third Parties,  dives into the complexities of vendor monitoring. From digesting new regulations to discussing best practices, we hope this book helps you tackle your job with confidence. 

Download our free Beyond Employee Monitoring eBook here to kick start your vendor monitoring process.

Our eBook journey began with the release of The Ultimate Guide to Exclusion Monitoring. It covers everything you need to know about Office of Inspector General (OIG) exclusion monitoring and  regulations surrounding monthly monitoring and exclusion databases. We received an overwhelming amount of positive feedback for our exclusions eBook, so we decided to tackle the ins and outs of vendor monitoring as well. This 40+ page eBook covers the details and risks of not complying with OIG guidance and State and Federal regulations as it pertains to vendor monitoring.

Read More

Healthcare Technology, Fraud and Abuse, Data Management, Compliance Data

Healthcare security - a top target for cyberattacks

Posted by David Share on Thu, Sep 01, 2016

Lack of Cybersecurity

Due to the success of previous attacks and the relative lack of sufficient cybersecurity, healthcare is now the most attacked industry by hackers, fraudsters, phishers and ransomware attackers.  The problem is the healthcare industry is highly focused at what it does best, providing the best quality healthcare possible. Many of its C-level executives lean towards the healthcare side as well, however only a handful of personnel are tasked with securing the data of the entire company and its patients. Put simply, healthcare data security is not the wheelhouse of the industry. And it shows.

 

"The industry that is supposed to offer everyone reprieve and look after their well being is under attack from cybercriminals."

 

IBM, one of the technology industry's most trusted and longest running companies, has recently released a report which claims that over 100 million healthcare records were breached in 2015. These records were harvested from 8,000 devices located in more than 100 countries. In the USA, and other countries which have implemented and enforced a health data security policy, such breaches can have hefty financial repercussions. Breaches of America’s HIPAA and HITECH acts carry a minimum of $500 per piece of data that was plucked by the fraudsters. Each of the 100 million plus healthcare records can contain numerous pieces of data, which when extrapolated represents billions of dollars in fines.

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