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What is ‘healthcare compliance’ and why should every healthcare organization must do it?

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What is ‘healthcare compliance’ and why should every healthcare organization must do it?

What does Healthcare Compliance mean?

Healthcare compliance simply means that a healthcare organization abides by all the compliance standards of the federal law. 

The rules and regulations of the government should be adhered to at all times by any healthcare organizations, both large and small. These rules prohibit the act of fraud, corruption, abuse and unsafe practices.


What should you know about healthcare compliance laws?

There are several laws that regulate the healthcare industry. The list below cites the most important ones:


Patient-protection focused laws:

a. HIPAA

Health Insurance Portability and Accountability Act

– HIPAA ensures that private patient information are kept within a healthcare organization and is not shared without the consent of the patient involved


b. HITECH

Health Information Technology for Economic and Clinical Health Act

– HITECH backs HIPAA as it regulates certain standards that allows IT when implementing and handling health records


c. EMTALA

Emergency Medical Treatment & Labor Act

– EMTALA ensures that the general public can get emergency treatment regardless of their financial capability to pay


Anti-fraud laws:

a. Anti-Kickback Statute

– Prohibits healthcare institutions and organizations from receiving financial incentives for a patient referral


b. FCA

False Claims Act

– This ACT prohibits filing a false claim for federal program funds


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