UPIC Audit | Everything You Need to Know

UPIC Audit

Are you curious about what a UPIC audit is? Wondering what to expect during the process and why your organization might need one? This post will cover everything you need to know about UPIC audits. We’ll explain what they are, who needs them, and how they’re conducted. Plus, we’ll give you some tips on preparing … Read more

Examples of Healthcare Fraud

Healthcare Fraud

Many types of fraud can occur in the healthcare industry, from billing for services that were never provided to overcharging for products. Healthcare fraud costs taxpayers billions of dollars each year and undermines the integrity of our healthcare system. This blog post will give a few examples of common healthcare scams. By understanding what to … Read more

What is wage theft?

what is wage theft

One of the most fundamental labor standards in the United States is that workers must be paid for labor. However, wage theft – which occurs when an employer fails to pay an employee for their work – is a significant problem in this country. An estimated $50 billion is stolen from workers each year through … Read more

Flagged PPP Loans: What is it?

Flagged PPP Loans

As many US presidents used to say, “small businesses are the backbone of America.” That is why many private lenders and credit unions are working with government agencies such as the Small Business Administration to empower as well as provide assistance to small business owners. But because of the pandemic, many of them as well … Read more

HIPAA Violation Examples

HIPAA Violation Examples

HIPAA or the Health Insurance Portability and Accountability Act has been gaining a lot of traction not just in the news but amongst our conversations with friends, families, and close circles as well. Besides our inherent concern for our data privacy, the pandemic has also motivated us even more to protect our medical records and … Read more

What Constitutes as Medical Malpractice?

Medical Malpractice

Disagreeing with your doctor and not liking the outcome does not always mean medical malpractice. There are numbers of ways a treatment or surgery can go wrong. Besides, these medical professionals are still human anyway, so it is plausible that they might make human errors from time to time. In fact, a study has shown … Read more

RAC Audit Prep Guide

Recovery Audit Contractors

The Medicare Fee for Service Recovery Audit Program is part of our government’s ongoing effort to safeguard and maintain the quality of our healthcare system. Given that almost the entire population of the United States relies on federal health programs like Medicare/Medicaid, it is only reasonable to conduct an audit on these healthcare providers every … Read more

Stark Law: An Ultimate Guide against Medicare Fraud

Stark Law

The world has seen how the American economy leads its progress in technological innovations and far-reaching inventions, particularly in the healthcare system.  Beyond greater heights, however, the United States government has been bombarded with thousands of healthcare fraud cases each year.  As millions of lives were affected by its detrimental costs, the US government has … Read more

Penalties for Medicare Fraud and Abuse

Penalties for Medicare Fraud and Abuse

Penalties for Medicare fraud and abuse can come in many forms. In our previous blog post, we have already established that you can be indicted for Medicare fraud felony. Apart from that, you might also be required to pay hefty fines and even be barred from gaining access to any federal or state healthcare programs. … Read more