The Importance of Medical Audits In Healthcare
Compliancy Group Blog
by Compliancy Group
23h ago
A medical audit consists of a variety of moving parts. And one of the most impactful parts is an auditor’s use of big data, which is something that most of the healthcare industry struggles to navigate. 80% of healthcare data is unstructured, and because of this, auditors aren’t able to make proper use of the insights into patient health and operational standing that the data provide. While this is just one of the most well-known hurdles with medical audits and auditing processes, facilities still face other difficulties. An additional concern is not all hospitals have dedicated clinic ..read more
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3 Healthcare Regulations That Could Make or Break Your Practice
Compliancy Group Blog
by Compliancy Group
2d ago
At least 25% of organizations are spending fewer than 1,000 hours on compliance per year. Considering that there are 8,760 hours in one year, compliance could be more streamlined to decrease the time facilities spend on this. That could entail better resource allocation and simplified workflows that produce better results. Multiple factors contribute to regulatory issues across the healthcare industry, often including issues that range from patient privacy protections to big data upkeep to junk insurance. To keep up with the way healthcare laws and regulations shift and issues arise, p ..read more
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How Do CMS Checks in Healthcare Work?
Compliancy Group Blog
by Compliancy Group
3d ago
The Centers for Medicare & Medicaid Services (CMS) has identified that a significant number of improper payments are issued every year. In 2023 alone, the improper payment rate reported by CMS for Part D payments alone was nearly 4%, an increase from 2022. The most common source of error is funds paid to the wrong entity. This can happen for multiple reasons, but the primary reason is insufficient documentation or payment amounts that are not supported by the documentation that was submitted. CMS checks are performed to help avoid these issues, ensure adherence to state and federal ..read more
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How to Become Certified in Healthcare Compliance (CHC)
Compliancy Group Blog
by Compliancy Group
6d ago
Becoming certified in healthcare compliance confirms your expertise and dedication to ensuring compliance with healthcare laws, regulations, and ethical standards. Professionals Certified in Healthcare Compliance (CHC) possess a verifiable mark of excellence and commitment. Non-compliance in healthcare settings can be significantly costly. For example, health organizations with high levels of non-compliance faced an average cost of about $5 million for each cybersecurity breach, a 12.6% increase compared to organizations with strong CHC compliance. Given the staggering non-compliance c ..read more
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Building an OIG Compliance Program for Physicians
Compliancy Group Blog
by Monica McCormack
1w ago
Data privacy is only part of Office of the Inspector General (OIG) compliance. Since the start of the data privacy rule in 2003 alone, there have been at least 350,000 Health Insurance Portability and Accountability Act complaints with 1,188 compliance reviews. The purpose of the OIG is to ensure that practices comply with federal regulations. Having a designated compliance program reduces the chance of compliance violations and the reputational and financial issues that often result from these incidents. While the OIG develops resources tailored to certain physicians to simplify compl ..read more
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Who Does Texas HB 300 Apply To?
Compliancy Group Blog
by Compliancy Group
1w ago
In May of 2011, the Texas Legislature attempted to update Chapter 181 of the Texas Health and Safety Code, with new legislation called “HB 300.” “HB” stands for “House Bill.” “300” is not a movie reference, a reference to a number of days, or an amount of money. Under Texas law, to introduce a bill in the Texas House of Representatives, a state representative must file copies of the bill with the House Clerk, who sequentially numbers each term’s bills in the order in which the clerk receives the bills. HB 300 was the 300th House Bill introduced during the legislative session for 2011 ..read more
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How to Write an Incident Report: A Healthcare Professional’s Guide
Compliancy Group Blog
by Monica McCormack
1w ago
Writing an incident report is a critical task in healthcare, as it ensures proper documentation of incidents such as breaches of patient information, Occupational Health and Safety Administration (OSHA) injuries and illnesses, and fraud, waste, and abuse (FWA), overseen by the Office of the Inspector General (OIG). Proper incident reporting helps maintain compliance and improve patient safety. Why Incident Reporting Is Important in Healthcare Incident reporting in healthcare settings is vital for several reasons: Regulatory Compliance: Healthcare organizations must comply with various ..read more
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Critical Role of Health Information Management Training
Compliancy Group Blog
by Monica McCormack
1w ago
Physicians, nurses, and other medical providers aren’t the only professionals who must demonstrate conscientious health information management. All individuals who handle sensitive data need regular and comprehensive training to understand the proper use, storage, analysis, and sharing of health information. Fortunately, compliance officers and other professionals have access to software and support services to ensure they conduct proper health information management. What is Health Information Management? Patient health information typically includes: Medical history: Past illnesses ..read more
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Streamline Your Hiring with Healthcare Onboarding Software
Compliancy Group Blog
by Compliancy Group
1w ago
Reducing turnover rates and providing proper training are among the top goals when hiring new employees. The onboarding process is pivotal in ensuring employees understand their job duties, engage in best cybersecurity practices, and comply with important regulations like the Health Insurance Portability and Accountability Act, Occupational Health and Safety Administration, and prevention of Fraud, Waste, and Abuse in healthcare. The need for healthcare compliance is a significant driver in attracting the best new hires and guiding them through an effective onboarding experience. With ..read more
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OIG Compliance Program Guidance for Clinical Laboratories
Compliancy Group Blog
by Compliancy Group
1w ago
Understanding the Office of Inspector General’s (OIG) focus is crucial for clinical laboratories seeking to secure and maintain operational integrity and avoid costly penalties while navigating the complexities of compliance regulations. The OIG compliance program guidance for clinical laboratories — as part of the General Compliance Program Guidance — is a blueprint for what labs can expect regarding scrutiny and oversight in 2024. Understanding OIG’s Role and the Importance of Compliance The OIG plays a pivotal role in safeguarding the integrity of healthcare programs by enforcing co ..read more
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