Healthcare compliance involves proactive measures to prevent fraud and abuse within entities licensed to provide services to patients. Enforced by the Office of Inspector General (OIG) and the Department of Justice (DOJ), these agencies require hospitals, nursing homes, third-party billers, and durable medical equipment suppliers to implement internal controls. Specifically, these controls are designed to ensure adherence to statutes and regulations governing federal programs, such as Medicare and Medicaid. While both agencies focus on preventing fraud, they also aim to mitigate risks that could impact patient safety and government interests.

We assist healthcare providers, including hospitals and physicians, in complying with relevant federal healthcare laws and regulations.

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Services offered by Prologos Law:

• Health Insurance Portability and Accountability Act (HIPAA)

• Health Information Technology for Economic and Clinical Health (HITECH) Act

• Emergency Medical Treatment & Labor Act (EMTALA)

• Patient Safety and Quality Improvement Act (PSQIA)

• Anti-Kickback Statute

• False Claims Act (FCA)

• Compliance Program Effectiveness Assessment

• FDA Compliance Education on Prescription Drug Advertising and Promotion

• Implementation of Grants Management Programs (CME)

• Healthcare Practices Auditing and Monitoring 

• Corporate integrity agreements (CIA)

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