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

The Ultimate Guide to HIPAA Violations

hipaa violations

HIPAA violations can crop up from the simple little things you do at the office, clinic, or hospital. From your everyday documentation system to your staffs’ mode of communication, violations of HIPAA are always looming around the corner. That being said, everyone working in the medical field should treat the HIPAA or the Health Insurance … Read more

Fraud, Waste, and Abuse in the Healthcare Industry

fraud waste and abuse

Fraud, waste, and abuse (FWA) have plagued almost every sector and program in the United States, with healthcare being the most targeted one. Even before the pandemic occurs, the 2018 National Money Laundering Risk Assessment found that the healthcare sector is one of the top sources of illicit funds. In 2020 alone, the healthcare industry … Read more

False Claims Act Penalties | The Complete Guide

False claim act

Violation to the False Claim Act can have serious and severe repercussions. Whether you are an individual health service provider or a healthcare organization, breaching the Federal Claims Act can result in hefty fines and harsh penalties.It can amount from thousands to millions of dollars and even put you behind bars. So with that in … Read more