Compliance

June 2018: Compliance Newsletter

Posted on June 27, 2018

On June 1, the Office of Inspector General (OIG) released its semiannual report to congress.

The report covers a six-month period, October 2017 – March 2018. The report highlights ac-
complishments, participation in Congressional hearings and updates related to oversight

activities. In the reports opening message, Inspector General, Daniel Levinson, highlighted

the department’s work towards combating the opioid crisis, the need to improve cyberse-
curity across four Health and Human Services Departments and their work in the area of en-
suring that those in foster care and group homes receive high-quality services.

May 2018: Compliance Newsletter

Posted on May 25, 2018

Compliance, quality, and risk have traditionally been areas of confusion. There are so many
areas of crossover it can be difficult to determine the separation between them and in some
cases, there is no separation. This can be especially difficult in facilities that have separate
compliance, quality and risk departments.

April 2018: Compliance Newsletter

Posted on May 03, 2018

The development and implementation of physician contracts can be extremely complicat-
ed. When developing these contracts, the Stark Laws and Anti-kickback statutes have to be

taken into consideration. The Stark Law was enacted almost 30 years ago and was devel-
oped to remove financial motivations for physicians to order unnecessary testing, and to con-
trol overall health care costs.

February 2018 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.

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