In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance audits and what audit etiquette means. Get essential tips on preparing for audits, the role of healthcare compliance auditors, and what to do (and what not do) during an audit.
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On a daily basis, compliance officers are asked to find solutions to a variety of operational requirements. For example, consider a regulatory change requiring the organization to adjust an operational process in order to bill for a particular service. In this case, the solution must be compliant and operational-friendly, but who’s responsible for making that happen?
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The revenue cycle is the process that starts with a patient’s initial appointment and ends with full payment for services. It encompasses all the administrative and clinical functions that contribute to collecting patient service revenue. For healthcare organizations that provide services to patients, the revenue cycle is the organization’s financial lifeblood.
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“When it comes to the compliance program, effective communication is essential for building strong relationships, resolving conflicts and gaining buy-in. One of the most valuable interpersonal tools to help you achieve these goals is assertive communication. It allows you to express your thoughts, needs and boundaries in a clear and respectful manner.”
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“Maintaining quality in compliance training is a constant challenge for healthcare organizations of all sizes. Any surge of regulatory changes necessitates prompt, effective training programs for staff, yet the process of developing and delivering quality learning can be daunting. ”
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“It’s really simple – people get hooked on stories, and the tales stick with us. For example, once upon a time, there was a girl named Cinderella. Not only does that line open every fairy tale, but it also won’t leave your mind, no matter how old you get. That’s the same result you want for compliance communication and training, right?”
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“Compliance in healthcare isn’t just about meeting regulatory requirements – it’s about protecting patients, maintaining trust, and ensuring operational efficiency. Too often, compliance is treated like a separate function and oftentimes a bit disconnected from department heads, operations and leadership.”
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“Being a healthcare compliance professional involves navigating a complex landscape where law, risk, operations, ethics and patient care intersect. These professionals play critical roles in preventing reputational and financial risks that could jeopardize their organization and its ability to serve patients effectively.”
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There have been many times where we have talked to auditors or inspectors who wanted to know if training occurred. While the answer was yes, there also have been times where we didn’t have any concrete documentation to support it, save for the Outlook meeting invite with everyone’s name on it. Even more surprisingly, there have been times where that has been accepted. Now, call it chance, dumb luck, or we dodged a bullet, but this is not always the case.
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