Accountable Care Organizations Requirements: ACO Final Rule Summary
The Centers for Medicare & Medicaid Services (CMS) released the final rule for Accountable Care Organizations (ACOs) and the Medicare…
Preparing Organizations for OCR Audits and HIPAA Compliance Reports
The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently launched plans to assess covered entities’ compliance…
Compliance 101. Developing Sound Policies and Procedures Specific to Potential Risks
Hospitals are becoming more reliant on risk assessments to discover prospective risk areas and to determine how these risks can…
Auditing to Assess Email Compliance and Overall Program Effectiveness
Introduction Email is the most common form of communication used by organizations today. This means that any views, quotes, or…
Accountable Care Organizations Final Rule – Are Your Compliance Officers Prepared?
The Accountable Care Organization (ACO) is a new model of patient-centered health care that was first introduced under the Affordable…
Statistics in Healthcare – Friend or Foe? – Taking the Compliance Office’s Perspective
Growing Importance of Statistics in Compliance Enforcement Data analytics, data mining, overpayment extrapolation using statistical concepts including sampling, and the overall…
An Update on Outpatient Therapy Services
The Centers for Medicare & Medicaid Services (CMS) recently issued a Medicare Learning Network (MLN) Matters article listing the therapy codes…
Confidence and Precision in Claims Audits: Quality of the Estimate
The contractor reform in health care brought a consolidation of Medicare contractors and new contractors, as exemplified by the Medicare…
How Effective is Your Compliance Training?
While It Is Important to Have a Robust Program, Don’t Forget That It Also Needs to Be Effective The development…
Using Surveys to Evidence Compliance Program Effectiveness
Over the last decade compliance officers and programs have matured and become more sophisticated. The importance of such programs has…
Hospital Risk Assessment: Environmental Health & Safety Compliance, and Physical Security Standards
Are patients, hospital staff and the public protected in your hospital environment? What laws and regulations might the Compliance Office help to…
Conducting Internal Investigations in Health Care Organizations
Conducting Internal Investigations in Health Care Organizations is a practical “how-to” guide written by the former HHS Inspector General and nationally…