Why one should take Healthcare Compliance Program seriously?

 If you are working in a healthcare organization in Las Vegas, you should be aware of the Healthcare Compliance Program. You will see that many healthcare organizations and companies in Las Vegas are not following the healthcare regulation and it is because they are unaware of the same. Either the staff was not being educated about the compliances related to healthcare. Or they do not emphasize much on the healthcare compliance training program.

There are many reasons why we suggest people to get trained in the healthcare compliance. One of the major reasons is that it will help you during any kind of Medicare Investigations Las Vegas. When you will be aware of the compliances, you will be able to work with the right details. If your company is not being able to meet the compliances related to healthcare, you may end up losing important clients also. No client would like to invest in a company which is not sure about the healthcare obligations. But if your organization is well aware of the healthcare compliances and they have been meeting all the standards, then you will not face any trouble in losing your clients. This will also help in maintaining the reputation of your organization. Those companies which follow and meet the healthcare compliances tend to grow more in comparison to those who do not. It is always being said that if you are planning to grow your business, it is better to meet the compliance requirements. That is possible only when you will be aware of the same.

What Triggers Medicaid Investigations in Las Vegas

 

If you are one of the Medicaid Service Providers, here are a few reasons that can trigger Medicaid Investigations Las Vegas:

•  Falsifying the patients’ diagnosis to justify the tests or any other procedure that are not medically necessary;

•  Billing the Medicaid for the services that hasn’t ever been provided;

•  Misrepresenting the procedures performed in order to obtain payments for the non-covered health care services;

•  Upcoding: it relates to billing for more costly services than ones that were actually performed;

•  Unbundling: it relates to billing each and every stage of a given procedure as if it was a separate procedure;

•  Filing Medicaid claims for staged and fake car accidents in Las Vegas;

•  Filing Medicaid claims for fake healthcare services and for fake medical conditions;

•   Filing Medicaid claims for any non-existent illness;

•   Illegal fee sharing;

•  Billing for health care services provided by any unlicensed personnel that is in violation of the Medicaid rules;

•  Illegal kickbacks.

Medicaid investigations and prosecutions can be duly conducted on the federal and state levels, suggests Healthcare Attorney LasVegas.

On the federal level, one can deal with the FBI, or the Office of Inspector General, and any other federal law enforcement agency.

On the state level, Medicaid fraud care are often handled by various organizations including:

•       Local district attorneys
•       The Office of Medicaid Inspector-General
•        The Medicaid Frauds Control Unit – Las Vegas Attorney General’s Office

Once your practice is flagged for Medicaid fraud, the investigation will duly begin and it could continue for several months or even for years.