Compliance in medical billing is the name given to tasks that prevent fraud, abuse, and waste inside a healthcare entity. In layperson’s terms, a compliance program is the ongoing and active process for ensuring ethical, legal, and professional standards are met in addition to being communicated throughout the healthcare facility.
This promotes a healthy culture where all stakeholders of a medical organization work to prevent, identify, and resolve activities that can lead to abuse or fraud. The compliance program is an organized plan for effective medical billing services with sketched steps. These steps are compliance elements.
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