A “reframe, regroup, refocus” approach enables compliance teams to work with other departments to provide excellent patient-centered care.
Continue readingHow to Deliver Patient-Centered Care in a Post-Covid World
Telehealth Enforcement Actions
“It behooves all healthcare compliance professionals to be aware of the fraud, waste and abuse risks associated with telehealth services. This mode of delivery holds great promise. For it to fulfill that promise, non-compliance needs to be rooted out and corrected.”
Continue readingEnsuring Private Information Stays Private
“Privacy can make or break an organization. For healthcare systems in particular, it’s essential to lock down data … there are two sides to privacy: the positive benefit side and penalty side ….” – Jerry Shafran, CEO and Founder of YouCompli
Continue readingComplexities of Covered Entities and Business Associates
Due to their violations of patient rights, covered entities and business associates are now facing increasing enforcement actions. In a breach, both parties bear financial and reputational risk. Shawn DeGroot recommends proactive compliance officers prioritize their agreements based on risk, establish communication channels, and collaborate on risk analysis to protect their organization.
Continue readingThe Why, What, Who, and When of Healthcare Risk Assessments
Healthcare risk assessments are essential for patient safety and compliance. By understanding the why, what, who, and when of risk assessments, healthcare organizations ensure high-quality care in a safe environment. In this article, Sharon Parsley discusses risk assessment from a “why, what who, and when” perspective. She also looks at ways that you, as an effective compliance officer, can lead this process with your colleagues.
Continue readingHealthcare Compliance Risks with Urine Drug Testing Overpayments
Urine drug testing overpayments drove up to $216 million in overpayments to Medicare over five years, according to a recent OIG audit report.
Continue readingHow the Three Lines Model Strengthens Healthcare Compliance
Show that healthcare compliance and operations share responsibility for identifying and mitigating risks with the Three lines Model – a strategic partnership.
Continue readingCompliance Risks Associated with Outlier Payments
Protect healthcare revenue: reduce the risk of fines and payback for inappropriate outlier payments created by unjustified price increases.
Continue readingPatient-Focused Elements of an Effective Healthcare Compliance Program
Improve patient experience. Use the OIG’s seven elements to guide and align healthcare compliance with compassionate, quality patient care.
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