There are several priorities for a healthcare compliance officer and their Compliance Committee. These include updating compliance policies, supervising compliance program education and training, and reporting compliance concerns to the…
Designing a Compliance Program for a Small Physician Practice
Ever wonder how many other small physician practices implement compliance programs? So do we! A cursory review of the subject shows there probably aren’t any reliable statistics on the subject….
Essential Physician Practice Management Reports
We have written extensively about medical practice issues in the past year, with a focus on improving performance in many areas of management and productivity. It seems timely to focus…
21st Century Cures Act Final Rule: What Healthcare Providers Need to Know
The Office of National Coordinator (ONC) of the Department of Health and Human Services (HHS) has issued a Final Rule covering the 21st Century Cures Act. This Final Rule, published…
Healthcare Compliance Hotline
In the healthcare industry, compliance with federal regulations is paramount. One crucial tool in maintaining this compliance is the implementation of a healthcare compliance hotline, which provides employees with a…
Why Does My Healthcare Project Need a Feasibility Study?
We have written several times in the past few years about the components of a financial feasibility study or a market study for healthcare organizations like hospitals and long-term care…
HIPAA and Reproductive Health: the 2024 Privacy Rule
The newly amended HIPAA Privacy Rule marks a significant step towards enhancing the privacy of reproductive health information. These amendments are set to reshape how covered entities handle protected health…
Employee Snooping – A Too Common HIPAA Violation
The widespread adoption of electronic health records in hospitals and physician offices has led, some would say inexorably, to equally widespread HIPAA violations by employees of those healthcare providers. Unauthorized…
Your Guide: How to Improve Medical Billing Processes
The title of this blog, “How to improve your medical billing processes” is pretty much always at the top of mind for most physicians and medical practice managers. Of course,…
Why Consider Outsourced Compliance Services in Healthcare?
There are times when outsourcing healthcare compliance services can become a practical and pragmatic option. Consider the following … In this Article … Boardroom Realizations: Navigating Healthcare Compliance Concerns Compliance…
What is Considered “Protected Health Information”?
Descriptions of what is considered HIPAA-protected health information (PHI) have been around since the enactment of the Health Insurance Portability and Accountability Act in 1996. Congress did not enact specific…
HIPAA Privacy Officer vs. Security Officer – what’s the difference?
Understanding HIPAA regulations requires knowing the distinct roles of a HIPAA Privacy Officer and a HIPAA Security Officer. This article breaks down their unique responsibilities and shows why both are…
Stark Law Violation: Insights Prompted by a Record Penalty
Late last year, the U.S. Department of Justice (DOJ) announced a False Claims Act (FCA) settlement with a large hospital system. The settlement was noteworthy for two reasons. It was…
HTI-1 Final Rule Update: Impact on EHR and Health IT
In this Article … Health Data, Technology, and Interoperability – Some Background The United States Core Data for Interoperability Version 3 (USCDI v3) Electronic Case Reporting Decision Support Intervention Predictive…
Medical Practice Embezzlement – Detection & Protection
Here is something no one likes to think about, much less admit: a trusted employee embezzled money from your practice, possibly for years! Medical practice embezzlement, a type of occupational…
Implementing the 7 Elements of an Effective Compliance Program
The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) issued a document entitled General Compliance Program Guidance in November 2023. The OIG’s stated…
Healthcare Compliance Training: an essential guide
Staying informed and compliant with regulatory standards is not just a best practice—it’s a necessity for healthcare providers. This is certainly true when it comes to the details of healthcare…
Your Corporate Integrity Agreement: what will the IRO audit?
Corporate Integrity Agreements (CIAs) can be overwhelming for those healthcare organizations facing one. Tasked with rectifying past non-compliance, these agreements are a roadmap to regaining trust and ensuring future adherence…
The Compliance Committee: Steering Integrity in Healthcare
In Part 1 of this two-part series, we discussed the role of the new Compliance Officer. We described the activities in terms of the first day, the first week, and…
New Compliance Officer in Healthcare: 1st day, week & month
This is Part 1 of a two-part series on compliance officers and compliance committees in a healthcare setting. In this part, we discuss how a new compliance officer should undertake…