In today’s healthcare environment, staying compliant with rules and regulations is critical to the success of any healthcare
organization. The consequences of non-compliance can be severe, including hefty fines, lawsuits, and damage
Commercial payers refer to private health insurance companies that offer healthcare coverage to individuals and groups.
These payers can be either for-profit or non-profit organizations that cover a broad range of medical expenses
The Office of Inspector General (OIG) The Office of Inspector General (OIG) is a division of the U.S. Department of Health and Human Services (HHS) that irresponsible for fighting fraud, waste, and abuse in the healthcare sector.
The Center for Medicare and Medicaid Services (CMS) is a federal agency that is responsible for managing two of the most
significant healthcare programs in the United States, namely, Medicare and Medicaid.
The Health Insurance Portability and Accountability Act, commonly referred to as HIPAA, is a United States federal law
that was passed in 1996. The purpose of HIPAA is to set national standards for the security of specific health
