Compliance Policy

This Compliance Policy is established to outline the procedures, standards, and regulations that Global Healthcare Solutions adheres to, ensuring that all operations are conducted in compliance with applicable laws, including HIPAA, the False Claims Act, and Medicare guidelines.

Legal and Regulatory Compliance

Global Healthcare operates in strict compliance with all applicable federal and state laws, rules, and regulations governing the healthcare billing and coding industry. This includes, but is not limited to, the following:

I. HIPAA (Health Insurance Portability and Accountability Act):Ensuring the confidentiality, integrity, and security of protected health information (PHI) in both electronic and physical forms.

II. False Claims Act: Prohibiting the submission of fraudulent orfalse claims to any federal healthcare program, including Medicare and Medicaid.

Data Privacy and Security

Global Healthcare is fully committed to safeguarding the confidentiality, integrity, andavailability of all patient information in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and other relevant regulations.

I. Data Protection : All electronic and physical records containing Protected Health Information (PHI) are securely stored and accessible only by authorized personnel.

II. Encryption : PHI is encrypted both in transit and at rest, using industry-standard encryption protocols.

III. Access Control : Role-based access control mechanisms areimplemented to ensure that only authorized personnel have access to PHI.

IV.Employee Training : All employees are trained regularly on dataprivacy and security protocols, including how to handle PHI properly.

V. Incident Response : In the event of a data breach or security incident, Global Healthcare follows a comprehensive incident response plan to mitigate harm, notify affected parties, and comply with regulatory reporting requirements.

Coding and Billing Compliance

Global Healthcare strictly adheres to all established coding and billing standards to ensureaccuracy, transparency, and regulatory compliance. The following protocols are enforced:

I. Coding Standards: All billing and coding activities comply with the latest versions of ICD (International Classificationof Diseases), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System).

II. Audits:Regular internal and external audits are conducted to ensure accuracy and compliance with applicablehealthcare regulations.

Training and Education

All employees and contractors involved in billing and coding receive continuous training tomaintain compliance with applicable regulations and standards.

Employees are required to participate in regular training sessions focused on current billing, coding, and compliance practices.

All billing and coding professionals must hold and maintain valid certifications (e.g., CPC, CCS) as required by industry standards.

Employees are kept informed of updates to laws, regulations, and coding guidelines to ensure adherence to the latest industry requirements.

Monitoring and Auditing

Routine internal audits are conducted to evaluate the accuracy of coding, billing, and claim submissions.

The company engages third-party auditors periodically to verify compliance with industry standards and legal requirements.

Any discrepancies identified during audits are addressed immediately with correctiveactions and training to prevent future occurrences.

Contact Information

Email : mdnitrous@gmail.com

Phone : +1 310-306-9999

Mailing Address : 108 West 13th Street, Wilmington, DE 19801

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