HIPAA Designated Privacy Officers
Under HIPAA (Health Insurance Portability and Accountability Act of 1996) every HIPAA covered entity must have a designated Privacy Officer.…
Outsourcing the Compliance Officer Function
Overview Although most health care providers have developed a compliance program and appointed a Compliance Officer to manage the program,…
Evidencing Management’s Healthcare Compliance Commitment
Compliance is a top-down program, beginning with members of the executive leadership. At all levels, they must clearly articulate commitment…
Outsourcing Sanction Checking, Investigation, and Resolution
Having experts complete the sanction checking process can save time and money Jillian Bower Concepcion, MPA, CHC, CHPC Senior Consultant,…
How to Properly Select an Independent Review Organization
Overview The Department of Health and Human Services Office of Inspector General (OIG) utilizes many enforcement tools to promote compliance…
Building and Measuring a Culture of Compliance
An organization’s compliance program should set the tone and standards expected in a healthcare work place, especially in terms of…
Regulatory Due Diligence for Mergers and Acquisitions is Critical
High Return on Investment in M&A Due Diligence News reports regarding health care mergers or acquisitions are emerging almost daily.…
2019: Time for Evidencing Compliance Program Evaluation
The compliance officer, like any program manager, is responsible for the ongoing monitoring of their program. However, compliance officers should…
OCR Solicits Comments on HIPAA Rules to Improve Coordinated Care
The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is soliciting comments on the modification of…
Preventing Fraud and Whistleblowing Through Anonymous Hotlines
Overview According to the Government Accountability Project, a whistleblower is defined as, “a [workforce member] who discloses information that s/he…
Addressing the Risk of Whistleblowers
The Department of Justice (DOJ) reported that 93 percent of their successful civil false claims court actions relied upon qui…
Expert Advice Regarding Compliance Risk Assessments
Several national surveys indicate that most health care organizations perform periodic compliance risk assessments, which is a cornerstone for any…