A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement. This detailed blog by compliance expert, CJ Wolf, will bring you up to date on the compliance risks associated with certain anesthesia services.
Continue readingMitigating Conflicts of Interest that Drive Profit Over Health
A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making, such as a doctor, researcher or healthcare administrator, has a secondary interest (financial, professional or personal) that could compromise or influence their objectivity and clinical judgment.
This secondary interest has the potential to affect decisions about diagnosis, treatment, or research in a way that’s not aligned with the best interests of the patient or public health.
Continue readingHow to Avoid Compliance Risk in Peripheral Vascular Reimbursement
Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny and worrisome statistics about improper payments, healthcare providers must identify and mitigate any PVD compliance risks that could jeopardize their operations.
This expert-written blog addresses the pressing concern of compliance risks in PVD reimbursement. It provides insights into regulatory trends, recent investigations and best practices.
Equip yourself with the knowledge to navigate this complex environment and safeguard your organization’s reputation and financial sustainability. Learn effective strategies to mitigate compliance risks in peripheral vascular reimbursement by focusing on medical necessity and adherence to guidelines.
Continue readingExpert Advice: Compliance Software Q&A with a Compliance Professional
In this expert interview, Amy shares insight surrounding compliance management software (like YouCompli) and examples of what it takes for organizations to be successful.
Continue readingExclusion Screening Failure Causes Compliance Nightmare
In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month, the compliance officer dismissed it as “a minor lag,” promising the HR department everything would be rerun soon.
Unfortunately, even a seemingly small glitch can have major consequences for healthcare compliance.”
Continue readingEnsuring Compliance for Academic Medical Centers
“The U.S. government has recently increased its focus on foreign influence in academic research – which some call ‘academic espionage.’”
Continue readingHow the OIG’s New General Compliance Program Guidance (GCPG) Addresses the Seven Elements
“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a relevant and meaningful way.”
Continue readingMitigating Risks from Online Tracking Technologies
“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.”
Continue readingOur Youth Mental Health Crisis: How Compliance Can Help Providers Address It
“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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