Our Certified Professional Compliance Officer (CPCO) Keileigh Neugebauer recently published a Q&A article in AAPC Business Monthly to help health care professionals to better understand this complex issue.
Healthcare compliance is an aspect of healthcare touching everyone, from coders to clinicians to patients. Everyone has questions. And as a healthcare compliance consultant, I try to have the answers. Here are some of the most frequently asked questions (FAQs) healthcare entities and providers ask me:
A: Healthcare is a highly regulated industry and difficult to navigate legally. It’s best to contract with (or hire) someone who specializes in healthcare compliance to help you understand with which regulations your entity needs to comply, along with developing an internal compliance infrastructure and training. Make sure this professional has relevant experience, is properly certified, and is not on the Office of Inspector General (OIG) excluded individuals list (https://exclusions.oig.hhs.gov).
A: Employees working in various healthcare roles, including coding and billing, should be trained in appropriate areas (HIPAA, HI- TECH, etc.) immediately upon hire and at least annually thereafter. Employees should be trained when existing regulations change or are updated and when new regulations are put into place.
A: Above all, compliance is about healthcare organizations and professionals upholding their legal and ethical responsibilities. Efforts don’t go unrewarded, however. For example:
A: Recommended resources include:
These organizations provide informational articles, auditing software, news about updates and alerts, compliance ideas, and more.
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