“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient data is being tracked and used by their organization’s website, social media pages, and payment portals.”
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“Regardless of the business model, there’s been one common reason why these organizations were successful in “operationalizing” their compliance programs: compliance priorities were aligned with business objectives and priorities. And the operations leaders bought in.”
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“The biggest problem with “gotcha” moments is that they signal deception. This contradicts, and can render moot, any efforts you’ve made to build trust in the compliance program.”
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Explore how compliance professionals can prove their true value in organizations, dispel misconceptions, and effectively mitigate risks. Real-world examples illustrate the tangible impact of robust compliance departments.
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“Earlier this year, regulators made the most significant changes to E&M documentation and coding guidelines in over two decades. They’re more complex than ever before, and enforcement actions are increasing.”
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“While youth intervention is not a traditional focus for compliance professionals, they have a vital role to play here. Ensuring that assessment tools are easily available for pediatric providers is critical.”
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“In the business of healthcare, promoting a culture of compliance is not merely a goal – it’s a necessity. There has to be a commitment throughout all levels of an organization to do the right thing and do things right. The organization needs to have a compliance culture that is contagious.”
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“Enforcement agencies like to “follow the money,” so to speak, and they often find it in medical claims submitted to government payors such as Medicare and Medicaid. This is why selecting appropriate modifier codes is essential for operating and being reimbursed compliantly.”
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“We’re continually being asked for advice to help our healthcare leaders. Essentially, we are acting as a customer service representative. For that reason, if you want to improve the culture of compliance and get those leaders’ buy-in, then make sure you’re delivering great service when consulting to them.”
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