Category Archives: Compliance and Fraud

Posts related to healthcare compliance and fraud.

PCI Compliance Checklist

More than 898,000,000 (yes, that’s MILLION) records with sensitive information have been breached between January 2005 and April 2016 – and that’s just what has been made public! Standard security procedures and technologies can thwart theft of cardholder data and private information. It is the responsibility of the entities that store, process or transmit cardholder … Continue reading PCI Compliance Checklist

Medical Compliance Programs

What is the best way to avoid healthcare violations? Design a Medical Compliance Program. These are simply a set of effective internal controls to ensure guidelines, regulations and laws affecting the organization are followed. They are meant to encourage a culture that fosters prevention, detection, and a resolution of conduct that is outside the established … Continue reading Medical Compliance Programs

Combat Healthcare Fraud at the Patient Level – How Patients Can Help

The healthcare industry is highly susceptible to fraud, partly due to the type of information available to numerous parties. Let’s say, for example, you go to the doctor for a check-up. The doctor finds something that needs to be checked out, so he sends you for an X-ray and sonogram, and they find something that … Continue reading Combat Healthcare Fraud at the Patient Level – How Patients Can Help

Can Your Organization Afford Healthcare Violations?

According to the 2016 Report to the Nations on Occupational Fraud and Abuse, the healthcare industry ranks as #5 out of 23 types of victim organizations for fraud, with a median loss of $120,000. Most violations, including fraud, are discovered via a whistleblower or anonymous reporting program. The second most common discovery method is management … Continue reading Can Your Organization Afford Healthcare Violations?

Six Tips to Prevent Medical Collections Credit Card Fraud

Prevention is key to reducing losses due to medical collections credit card fraud. We hear it every day – someone gave their credit card information to pay a bill and the next day their account is hit with fraudulent charges. What can you do about it? Do you have time to monitor your staff that … Continue reading Six Tips to Prevent Medical Collections Credit Card Fraud