“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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“This three-pronged strategy focuses on educating patients and staff about how to avoid misconduct. It also emphasizes training individuals on how to recognize and report FWA violations when they see them.”
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“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.”
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From fostering a culture of accountability to providing robust training programs, this insightful piece offers practical steps to enhance compliance, reduce risks, and ensure patient safety. Discover how organizations can navigate the complex regulatory environment and cultivate a workforce committed to upholding the highest standards of compliance. Read the full article for a comprehensive roadmap to success in healthcare compliance.
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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.
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In the complex and demanding field of healthcare, maintaining a healthy compliance culture is crucial to ensure quality care and mitigate risks. However, an often overlooked aspect of building such a culture is the impact of second-hand stress on healthcare professionals. This article delves into ways to properly manage second-hand stress and maintain a healthy compliance culture.
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Building positive, proactive relationships with leaders is crucial to a culture of compliance. Four approaches to engage leaders in an effective compliance program.
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