Second, health care providers can implement a program that will detect fraudulent practices or activities before they happen. It involves monitoring different aspects of the operation, such as employee behaviour data discrepancies in billing and services rendered. In terms detection strategies article published Journal Fraud & Abuse notes use analytics within healthcare settings which involves sifting through large amounts historical clinical financial data detect patterns indicative suspicious transactions alert responsible personnel before actual wrongdoing takes place (Lane et al 2017).
Lastly, another way that organizations can stay compliant with PPACA regulations is to follow disclosure requirements when taking any type of disciplinary actions against sanctioned employees. Even though this might seem obvious, certain situations call for extra care. Especially when it comes to individuals in higher authority positions or sensitive issues.
Understanding laws and regulations regarding fraud, waste abuse in healthcare is crucial to maintaining compliance with regulatory requirements.