If your practice accepts any type of federal medical insurance (DOL workers comp, etc.) it must meet all the elements of a compliance program. Failure to do so leaves your company at risk for financial losses, license revocations, business disruptions, poor patient care, erosion of trust, and a damaged reputation.
It's this simple.
If you do not have a compliance program and you accept federal insurance, it's only a matter of time before you run afoul of HHS Office of Inspector General (OIG). The cost of Improper billing (false claims) is significant. The possibly of the case becoming a criminal matter, which leaves one vulnerable to prison, is terrifying.
Having a proper medical compliance program lets you sleep at night. We can help make that happen.
Joanne Chiedi is the Principal Deputy Inspector General, U.S. Department of Health and Human Services, General Oversight and Compliance. The following remarks were made at the Health Care Compliance Association's (HCCA's) annual conference April 2019
“My main message is this: Be bold. Take action. Compliance must have a seat—and a voice—at the innovation table.” – Joanne Chiedi
•We cannot oversee what we do not understand. Effective oversight requires understanding how healthcare is delivered today and how it will be delivered in the future.
• Compliance must have a seat and a voice at the innovation table. Embrace technology and innovation at this revolutionary time in healthcare.
• Give Compliance the data. If anyone in your organization has data, Compliance should have access to it, too.
• Compliance and innovation must advance together. Compliance can and will play a big part in getting innovation right in healthcare. “If you want to predict and manage risks, if you want to delve beyond what happened, to explore why, give Compliance data, give them C-suite support, and freedom to do their jobs.”
Company policies – Are there company policies that are particularly important to your business? Perhaps your unlimited paternity/maternity leave policy has endeared you to employees across the company. This is a good place to talk about that.
Executive profiles – A company is only as strong as its executive leadership. This is a good place to show off who’s occupying the corner offices. Write a nice bio about each executive that includes what they do, how long they’ve been at it, and what got them to where they are.
OVERSIGHT AND COMPLIANCE PROFESSIONALS are working to ensure that the rules of the road are followed, that dollars are well spent, and that patients are protected. Like innovation, compliance never stops, should never become stagnant, and will be essential to the success of the new healthcare ecosystem.
“Businesses that plan to be around for more than 15–20 years will embrace change. They will have their compliance professionals working shoulder to shoulder with their disruptive innovators.”
Compliance Leadership
• Compliance leadership is about a clear vision, empowerment, being passionate so others can see that you care, so that when you are sitting at the table, your voice will be heard.
• Compliance and oversight must be forethoughts, not afterthoughts.
• Getting in early and often can avoid costly mistakes and retrofitting down the road.
• Find new opportunities to use your organization’s technology and data to improve your compliance program and operations.
Copyright © 2020 Mauro And Hensley Compliance Consulting, LLC - All Rights Reserved.
Powered by GoDaddy