At least 91% of professionals who specialize in project management say that their organizations often face challenges when managing their projects. The healthcare industry is included in this struggle, and the Office of Inspector General (OIG) audits are great examples. Audits are often intimidating, especially when industry standards fluctuate consistently. Compliance officers often struggle with overall audit oversight, which includes tracking project phases, inaccurate reporting practices, and less efficient workflows. More healthcare organizations are being proactive rather than re ..read more

Healthcare organizations are continuously struggling with the Health Insurance Portability and Accountability Act (HIPAA) compliance for three seemingly simple reasons: organization, utilization of security measures, and auditing efforts. While these are all simple aspects of handling and tracking healthcare data, many office and practice managers are still seeking solutions to help streamline data security and training efforts and all of their compliance monitoring and reporting. With the upward trend in healthcare data breaches, revolutionizing the way HIPAA compliance is tracked and ..read more

Seeking to strengthen reproductive healthcare privacy in the wake of the 2022 Supreme Court opinion in Dobbs v. Jackson Women’s Health Organization, which overruled Roe v. Wade, the Department of Health and Human Services’ Office for Civil Rights issued a Notice of Proposed Rulemaking to modify the HIPAA Privacy Rule in April of last year.  This April, HHS issued a Final Rule, the HIPAA Privacy Rule to Support Reproductive Healthcare Privacy. In a press release accompanying the Final Rule, HHS reports that “The Final Rule strengthens the Health Insurance Portability Act of 1996 (H ..read more

Healthcare is one of the most regulated industries in the U.S. economy. Maintaining Medicare compliance and avoiding legal and financial repercussions requires Medicare compliance training for employees at all organizational levels. Components of Medicare Fraud, Waste, and Abuse Training One of the most important elements of CMS Medicare fraud, waste, and abuse training is defining and differentiating these three terms: Fraud is the deliberate attempt to obtain financial gain through deceptive means, such as providing false information. Examples of Medicare fraud include billing for un ..read more

A Deep Dive into the Features and Benefits of a Compliance Monitoring Platform The American Hospital Association reports that hospitals and PAC providers spend nearly $39 billion annually on administrative tasks associated with compliance in various domains. This is a great deal to manage for a bustling healthcare organization, costing valuable time and financial resources. Maintaining an accurate and ongoing assessment of compliance status in today’s regulatory-heavy healthcare ecosystem is not just important—it’s essential. Healthcare organizations face high stakes and low margins fo ..read more

Compliance in all healthcare settings requires an in-depth understanding of the standards that the U.S. Office of Inspector General (OIG) enforces. However, OIG corporate compliance oversight is typically more rigorous, often resulting in more severe consequences for violations. In any business setting within healthcare, maintaining high standards ensures ethical practices, reduces financial waste and abuse, protects the organization’s reputation, and promotes quality of patient care. When OIG Evaluation of Corporate Compliance Programs Turns Up Wrongdoing Compliance officers, and the ..read more

Regulations abound in the modern healthcare ecosystem, a reliable compliance project manager is more than a necessity—it’s a strategic advantage. However, compliance is often time-consuming and expensive. The American Hospital Association (AHA) has reported that “health systems, hospitals, and post-acute care providers spend nearly $39 billion annually on regulatory compliance tasks.” Businesses struggling to stay afloat in the complex waters of regulatory compliance in healthcare can benefit from investing in an effective compliance project manager. One clear solution for healthcare l ..read more

98% of companies in the training industry use a healthcare learning management system (LMS), and this applies to most healthcare organizations that keep up with policy changes, industry fluctuations, and for onboarding new staff. This is to simplify training and onboarding processes, but the advantages of utilizing an LMS don’t stop there. The problem is that at least 2 of every 3 employers don’t have an actual structured process for onboarding. Often, healthcare businesses are continuously falling victim to the most common onboarding challenge: inefficient and inconsistent processes ..read more

Many healthcare organizations rely on the classic spreadsheet to track their compliance status. While traditional, humble, and respectable, this method is teeming with challenges—manual updates, the risk of human error, and the inefficiency of tracking complex compliance processes in a static document. The American Hospital Association (AHA) reports that hospitals, health systems, and PAC providers “must comply with 629 discrete regulatory requirements across nine domains.” One glance at those numbers, and it’s clear that it’s time to move beyond the cells of a spreadsheet to a more so ..read more

The U.S. Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. OIG Medicare compliance audits help ensure that hospitals, clinics, and other medical facilities use program funds efficiently and in accordance with federal and state laws. Findings from OIG audits can identify compliance areas needing improvement. They also help the DHHS improve its operations and program administration. OIG audits tend to e ..read more