In the United States, healthcare is a highly regulated industry. This means that independent providers have to follow a number of rules that are set by the government. These rules are designed to protect patients and ensure that all providers are operating at a high level of quality.
There are two main types of regulation: financial and clinical. Financial regulation rules cover things like billing, insurance claims, and medical coding. Clinical regulation rules cover topics like doctor-patient communication and hospital operations. Both types of regulation help ensure that patients get the best possible care in the safest possible environment.
The benefits of these rules are numerous: they can prevent fraud or abuse by protecting against fraudulent claims; they can protect patients from malpractice lawsuits by making sure doctors don’t make mistakes; they can speed up processes like payment so you don’t have to wait months for reimbursement after surgery; they can guarantee that all clinics meet certain standards for cleanliness and hygiene; and many other things too.