2018 February Compliance Newsletter

Posted on February 22, 2018

According to Investopedia, marketing is about product, place, price, and promotion. Promo-
tion often includes activities such as offering rewards, discounts, or free products. A search of

the marketing techniques on the internet provides a multitude of advice of how to incentivize

customers. What most people do not realize is that in healthcare many of the common prac-
tice methods of incentivizing customers or inducing referrals is illegal based upon concerns

that the practice could affect both the quality and cost of care.

January 2018: Influenza Vaccinations

Posted on January 23, 2018

Flu season is upon us and many healthcare workers have questions regarding the

mandatory policies surrounding the flu vaccine. Specifi-
cally, those policies that identify employees who have

or have not taken the vaccine. Examples include alerts
on identification badges or requiring those who have
not received the vaccine to wear a surgical mask
throughout flu season.

HIPAA Privacy In Rural Health Care

Posted on January 03, 2018

Practicing healthcare in rural communities can
create unique barriers to compliance with

HIPAA Privacy Laws. Both clinical and non-
clinical staff is frequently called upon to serve

their neighbors and their own families when
providing healthcare services in both the rural
clinic and rural hospital setting.

Medical Identity Theft

Posted on November 28, 2017

Has your facility implemented measures to prevent or reduce the risk of identity theft? An Identity Fraud Study conducted by Javelin Strategy & Research found that the identify fraud incidence rate has increased by sixteen percent.1 Medical/healthcare organizations were affected by 377 breaches which was 34.5 percent of the total breaches.2 These statistics reflect only those cases that were identified. According to the report, “These figures do not include the many attacks that go unreported. In addition, many attacks go undetected.” 3

October 2017: OIG work plan

Posted on October 25, 2017

Written by: Cheri Benander, MSN, RN, CHC, NHCE-C
These Work Plans serve as one of the resources that entities use to develop their internal audit plans. By using this resource, compliance officers can build a plan that is better aligned with the projects the OIG is pursuing in an effort to curb fraud and abuse.

September 2017: Are You Ready for a 501(R) Compliance Audit?

Posted on September 27, 2017

Written By: Cheri Benander, RN, MSN, CHC, NHCE-C
The Affordable Care Act (ACA) added additional requirements to the Internal Revenue Code section 501(r) for hospital organizations that want to be described as a Charitable 501(c)(3)hospital.

August 2017: Tracking Physician Activity

Posted on August 22, 2017

Written By: Cheri Benander, RN, MSN, CHC, NHCE-C
Severe penalties for noncompliant contracts and financial arrangements
with physicians can prove costly for small organizations. Violations of elements of the Stark, Anti-kickback, and Civil Monetary Penalty laws can also implement the False Claims Act making the financial effects even more devastating.

July 2017: Communication: A Key to Successful Compliance Programs

Posted on July 27, 2017

Developing a communication plan will help to ensure the success of your compliance program. Who, how, and when information is communicated are important aspects to consider when developing your strategies.

June 2017: Community Health Needs Assessment

Posted on June 13, 2017

Written By: Cheri Benander, RN, MSN, CHC, NHCE-C
On December 29, 2014, the Department of the Treasury and the Internal
Revenue Service released the final regulations implementing the Affordable Care Act (ACA) obligations for hospitals covered by §501(c)
(3) of the Internal Revenue Code. The ACA added §501(r) which specifies that hospital organizations will not be treated as tax-exempt under §501(c)(3) unless they meet certain requirements.

May 2017: HIPAA Non-Compliance Proves Costly

Posted on May 26, 2017

Written By: Cheri Benander, RN, MSN, CHC, NHCE-C
The Office of Civil Rights (OCR), enforcement agency for the Health Insurance Portability and Accountability Act (HIPAA), has announced several settlements over the past couple of months. The settlement amounts have been significant making it clear that a lack of compliance can be costly to an organization.

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