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ICD-10 updates, Fraud, Waste, and Abuse Training, Booklets and Prevention

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We try to share useful information as we come across it. Below are some links that we think may be of interest to our audience such as: ICD-10 updates, Fraud, Waste, and Abuse Training, Booklets, and Prevention. We have also included some videos from YouTube. Be sure to follow the guidelines set forth and do not let hindsight get you in trouble.

ICD10 Code sets revised:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/ICD9-10CM-ICD10PCS-CPT-HCPCS-Code-Sets-Educational-Tool-ICN900943.pdf

This is about 88 minutes, we thought it had some good content. Web-based Fraud, Waste, and Abuse Training:

https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html

Medicare Fraud-Abuse Booklet:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf

Medicaid Fraud Prevention:

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Program/Education

For those who do not think they are serious about this, here is a link for enforcement:

https://oig.hhs.gov/fraud/enforcement/?type=criminal-and-civil-actions

OIG Compliance Resource Portal:

https://oig.hhs.gov/compliance/

Evaluation and Management Services Guide:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/eval_mgmt_serv_guide-ICN006764TextOnly.pdf

OIG Videos:

False Claims Act https://www.youtube.com/watch?v=BbZ78QTLztQ&list=PLkw9IKOokUiIjlyjm7wsvZd31z0U8QxxP&index=42&t=26s

Federal Anti-Kickback Statute https://www.youtube.com/watch?v=a4KhqqeAaUg&list=PLkw9IKOokUiIjlyjm7wsvZd31z0U8QxxP&index=43&t=9s

Physician Self-Referral Law

Exclusion Authorities and Effects of Exclusions

How to use the LEIE Online and Downable Databases

Eye on Oversight: Kick Backs to Physicians

Eye on Oversight: Medicare Part D Fraud

If you need assistance with HIPAA Risk Management, or guidance with your HIPAA Compliance contact us at 877.659.2467 or complete the contact us form.

“Simplifying HIPAA through Automation, Education, and Support”

About Suze Shaffer

Suze Shaffer is the Owner and President of Aris Medical Solutions, a healthcare compliance company dedicated to simplifying HIPAA compliance. Through its online compliance solution, the HIPAA Keeper™, Aris Medical Solutions provides healthcare providers and business associates with the tools, documentation, training, and expert guidance needed to achieve and maintain HIPAA compliance.

Through the HIPAA Keeper™, Aris has assisted organizations nationwide with conducting risk analyses, developing risk management plans, implementing HIPAA Privacy and Security policies and procedures, and strengthening safeguards for protected health information. Aris Medical Solutions also considers applicable federal and state privacy and security requirements to help clients build a more comprehensive compliance program.

Suze is also a speaker and has presented at numerous conferences and professional events on HIPAA compliance, cybersecurity, risk management, and data breach prevention. Helping organizations understand their responsibilities and identify vulnerabilities before they result in a breach, audit, or investigation. She believes effective compliance begins with education. By helping organizations understand not only what they are required to do, but why those safeguards are important, organizations are better prepared to protect patient information and reduce their compliance risks.

At Aris Medical Solutions, the mission is simple: “Simplifying HIPAA” through education, expert guidance, and the HIPAA Keeper™, Aris Medical Solutions helps organizations turn complicated compliance requirements into a manageable, ongoing process.

The information provided reflects regulatory requirements and guidance available at the time of writing and is intended for educational purposes only. It should not be considered legal advice.

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