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Maintaining healthcare compliance includes being vigilant for warning signs of potential waste, abuse, and fraud due to identity theft. Healthcare red flag rules help your organization protect your patients, staff, and financial security from potential medical identity theft.
Compliance with healthcare regulations protects patients, safeguards employee safety, and maintains the security of electronicmedicalrecords (EMRs) and cyber networks. Ensuring compliance with critical regulations falls on the complianceofficer. What Does a ComplianceOfficer Do?
Office of Inspector General (OIG) enforces the General Compliance Program Guidance. In November, updates for 2024 appeared in the OIG General Compliance Program Guidance, including recommendations for Medicare, nursing facilities, and other industry-specific entities. Organizations should ramp up their risk assessment efforts.
As a complianceofficer or critical decision-maker, you can help your healthcare organization avoid exclusion from this valuable program by creating a comprehensive compliance program and using software to streamline your compliance processes. Remaining in good standing with Medicare has several advantages.
Healthcare organizations face a series of challenges, especially regarding healthcare compliance. So, how can you ensure that your healthcare compliance program is effective – protecting your staff, patients, and business? Follow these tips to ensure you’re implementing an effective healthcare compliance program.
Youth intervention may not be a traditional focus area for compliance professionals, but they can be instrumental in confronting this crisis. While youth intervention is not a traditional focus for compliance professionals, they have an important role to play here.
Sharon Parsley, JD, MBA, CHC, CHRC contributes a monthly post on complianceofficer effectiveness for the YouCompli blog. Many people in our discipline love the slogan “compliance is everybody’s business.” In the process, they became compliance champions. Consider scheduling periodic weekend rounding on different units.
So, “what is HIPAA compliance in healthcare?” With ever-growing data breaches, HIPAA compliance is more crucial than ever. With the rise of electronicmedicalrecords (EMRs) and telehealth technology, HIPAA has evolved by fortifying protection measures and keeping pace with the healthcare ecosystem.
However, complianceofficers and other decision-makers relying on this software must constantly identify and mitigate threats to PHI security and confidentiality. Fortunately, complianceofficers can remain vigilant with compliance support services and comprehensive software.
Among the many tasks of chief information security officers (CISOs), one of the most essential is ensuring the organization’s compliance with IT and cybersecurity regulations in healthcare. In this post, we discuss the critical laws governing healthcare security compliance.
Continuous compliance begins with automated monitoring, cross-departmental communication, and population-specific workflow. In a recent webinar , ProviderTrust Founder Michael Rosen and Chief ComplianceOfficer Donna Thiel detailed ways in which your organization can effectively monitor your unique provider populations.
Fortunately, complianceofficers and other professionals have access to software and support services to ensure they conduct proper health information management. This training also helps staff understand how to apply compliance standards to collecting, storing, using, analyzing, and sharing sensitive information.
Providers may take documentation “short cuts” or feel overwhelmed with implementation of a new EMR (electronicmedicalrecord) system and clone or make documentation errors. Once the diagnosis coding passes through the insurance company edits, additional edits will then be performed against medical necessity criteria.
An incident response plan enables complianceofficers and other organizational leaders to take necessary and timely actions when accidents and security breaches occur. The plan should include protocols for reporting compliance violations or environmental conditions that could lead to physical injuries and other consequences.
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