YouCompli

As a healthcare compliance professional, you are tasked with navigating complex regulations, ensuring your organization adheres to the highest standards of ethical and legal practices, and protecting patient safety. Demonstrating competence, building credibility, and fostering collaboration are key to success in your role. These qualities enhance your effectiveness and ensure you are a valuable and trusted partner within an organization. 🔷 Demonstrating Competence In the complex landscape of healthcare regulations, we cannot know the answer to every question we receive. Not knowing the answer does NOT equate to a lack of competence. Competence is best displayed by knowing where to go to provide a full and comprehensive response to regulatory questions, and what questions to ask yourself to ensure a comprehensive response based on common healthcare rules and regulations. Here are some tips to clearly demonstrate your competence as a compliance professional: 🔻 Know what rules apply and where to go to find answers! 🔺 Communicate clearly and effectively! 🔻 Stay informed! 🔺 Set the tone! 🔷 Building Credibility & Fostering Collaboration To make advancements in the state of compliance in your organization, you need people to engage with and trust in your ability to help them improve upon compliance challenges. Build your credibility and foster collaboration by: 🔻 Building relationships and being present! 🔺 Being transparent! 🔻 Staying adaptable and open to change! 🔺 Being accountable! Compliance is not just about enforcing rules – it is about guiding your organization towards a culture of integrity and excellence. By embodying these principles, you can show competence, credibility, and collaboration and help ensure your organization thrives in an increasingly complex healthcare environment. Read Amy's full article here ➡ https://hubs.la/Q02NC9gB0 #compliance #healthcare #regulation #communication #Culture

Already, since the U.S. Supreme Court overturned the Chevron doctrine in June, there have been significant ripple effects throughout the healthcare industry. Nowhere can those ripple effects be felt more acutely than in compliance departments. Join us for a HCCA webinar on September 30, called “What Does the Reversal of Chevron Deference Mean for Healthcare Compliance?” Experts from YouCompli and HortySpringer will analyze the Supreme Court’s ruling and explore in depth what compliance teams need to be concerned with and watching for the rest of this year and beyond. For more information, and to register in advance, visit: https://hubs.la/Q02NHN7T0. #webinar #HCCA #HortySpringer #compliance

❗ Don’t Miss Out: Register for the Upcoming HCCA & YouCompli Webinar on Chevron Deference❗ The Supreme Court’s recent reversal of Chevron Deference is poised to significantly affect various regulated industries. In response, we are partnering with the Health Care Compliance Association (HCCA) and HortySpringer to host a webinar that will analyze the Court’s decision and its implications for the healthcare sector. This session will also provide compliance professionals with strategies to navigate the new regulatory landscape, highlighting their role in monitoring changes and ensuring organizational compliance. Sign up now! ➡ https://lnkd.in/gwGMAbXB #webinar #HCCA #HortySpringer #compliance

Revenue Cycle Management (RCM) is the financial process utilized by healthcare providers to manage the administrative and clinical functions associated with claims processing, payment, and revenue generation. The primary goal of RCM is to improve the efficiency of the revenue cycle and ensure that healthcare providers receive timely payments for the services they offer. A critical aspect of effective RCM is compliance with regulatory standards, which creates financial integrity and reduces legal repercussions. When thinking of compliance in the revenue cycle, the key factor is to BE compliant. Without such practices in place, revenue integrity would inadvertently become compromised. 🔷 Here are some key factors when considering the importance of compliance in the revenue cycle. 🔸Legal and Regulatory Adherence 🔸Financial Stability 🔸Patient Trust and Satisfaction 🔸Avoidance of Penalties There could be many more, but the key here is understanding the OIG has put regulations in place for the revenue cycle with good reason. Be sure your organization understands these regulations and has a team in place to review and/or put in place policies that can comply with the revenue cycle. 🔷 Challenges in Revenue Cycle Management Compliance There are 4️⃣ main types of challenges that may occur when aiming to become compliant. 🔸Complex Regulatory Environment 🔸Data Security 🔸Billing and Coding Accuracy 🔸Resource Constraints When putting together policies or even beginning to understand how to implement compliance within your organization, be certain to understand each department’s function – and make sure they are represented when making decisions. Typically, boards include directors who represent departments that may be affected. 🔷 Best Practices for Maintaining Compliance Let’s look at some other best practices in revenue cycle compliance. 🔸Regular Training and Education 🔸Implementing Robust Policies and Procedures 🔸Utilizing Technology 🔸Conducting Regular Audits 🔸Engaging Compliance Experts These best practices may seem daunting at first. But, once implemented, they become worth the effort. Having well-balanced compliance within your organization keeps anxieties low and minimizes surprises relating to queries regarding revenue integrity. Read Maya Turner's full article and download the tip sheet here ➡️https://hubs.la/Q02MVk7Z0 #compliance #healthcare #OIG #RevCycle #BoardofDirectors

❗ Register Now for the upcoming HCCA & YouCompli Webinar on Chevron Deference❗ The Supreme Court’s recent reversal of Chevron Deference is set to significantly impact various regulated industries. In response, we are collaborating with the Health Care Compliance Association (HCCA) and HortySpringer to host a webinar that will dissect the Court’s decision and its implications for the healthcare sector. This session will also equip compliance professionals with strategies to navigate the new regulatory environment, emphasizing their role in monitoring changes and ensuring their organizations remain compliant. Register now! ➡ https://lnkd.in/gwGMAbXB #webinar #HCCA #HortySpringer #compliance

This week's post from the YouCompli blog is from Jay Anstine and includes a downloadable Tip Sheet! Whether you're resolving a complex billing issue, or advising your leadership team about a business proposal, the ability to effectively make decisions is a valuable asset for any compliance officer.  So, how can you make better decisions? Here are 5️⃣ tips that will help.  🔹 Develop Self-Awareness for Decision-Making  I’ve learned that the more I become self-aware of a skillset, the more I improve my abilities to execute it. The same is true for making decisions.    🔹 Be Intentional About Narrowing Your Choices  I’m a strong advocate for exploring alternatives to any issue. I think it’s a great practice for how you approach compliance work, but too many options can become counterproductive to making decisions (i.e. “paralysis by analysis”).   🔹 Consider the Big Picture  As you are making a key decision, are you giving thought to the long-term implications? For example, if you are deciding to investigate an issue, what does the end of the investigation look like before you get started? How will the result affect you and others in the future?  🔹 Learn to Tolerate Uncertainty  In the ever-changing world of regulatory work, uncertainty is a constant companion. To help manage uncertainty, shift your perspective by reframing it as an opportunity for growth instead of a threat. Also, work to develop a flexible plan with realistic goals and contingency plans for obstacles.     🔹 Practice Decision-Making  Consider practicing key decisions to help improve your ability to execute them.   Like any skill, decision-making can be improved through practice and deliberate effort. By following these tips, you will improve your confidence and make better choices that lead to positive outcomes. You also will be able to be a more passionate defender of your program and work to regulators, and a more effective advocate for compliance within your organization.   Read Jay's full article here: https://hubs.la/Q02L-s_N0 #compliance #healthcare #culture

❗ Registration is officially open ❗ The Supreme Court’s recent reversal of Chevron Deference is set to significantly impact various regulated industries. In response, we are collaborating with the Health Care Compliance Association (HCCA) and HortySpringer to host a webinar that will dissect the Court’s decision and its implications for the healthcare sector. This session will also equip compliance professionals with strategies to navigate the new regulatory environment, emphasizing their role in monitoring changes and ensuring their organizations remain compliant. ➡ For more details and to register, visit https://lnkd.in/gwGMAbXB #HortySpringer #HCCA #Webinar #ChevronDeference

(This post is by Jenny O'Brien, JD, MHCDS, CHC) Truly effective compliance programs have a strategic vision supported with a business plan that is communicated to C-suite leaders. The plan should encompass a comprehensive roadmap that takes it down two distinct but equally critical paths. The first is to ensure regulatory requirements are met, and the second is to demonstrate awareness and alignment with key business priorities. Ultimately, delivering a compliance program that supports both results in being a key partner in supporting the organization in achieving its business priorities and goals. A compliance program exists quite simply because it is mandatory for organizations that accept funding from Medicare, Medicaid, and other federal government programs. To participate, organizations must demonstrate there are processes in place to prevent, detect, and correct regulatory issues. The framework of the seven elements of a compliance program is established by the Federal Sentencing Guidelines and other state and federal regulations. At its core, demonstrating to the regulators that you have a framework for the seven elements is a fundamental reason an organization invests in a compliance program. However, limiting your compliance program’s impact to this singular purpose is shortchanging both your program and your organization. The second, and (I would posit) even more critical role your compliance department should play for your organization, is to demonstrate the value-add of a compliance department beyond satisfying regulatory requirements. Examples include: 🔹Aligning with Business Priorities 🔹Scaling for Growth 🔹Prioritizing Consumer-Centric Focus Bottom line: rather than limiting the breadth and scope of your compliance program to what is minimally required by regulators, think of the breadth and scope of what it should be. As I mentioned in my last article, you should be building relationships with business partners to better understand their priorities. This enables you to think strategically, and be innovative, and bring ideas and solutions that are proactive rather than reactive. Now that is a quantifiable value proposition! ➡️Read Jenny O’Brien’s entire article at https://hubs.la/Q02LgkS40 #compliance #healthcare #nextgeneration #leaders #NextJen

The Supreme Court’s recent reversal of Chevron Deference will have a significant impact on regulated industries of all kinds. So we’re partnering with the Health Care Compliance Association (HCCA) and HortySpringer on a webinar that will break down the Court’s decision and what it means for the healthcare industry. We’ll also help compliance professionals develop a playbook for how to navigate the new landscape, given the fact they’re likely to bear responsibility for monitoring the evolving landscape and keeping their organizations current with any/all changes that come along. For more information, and to register, visit https://hubs.la/Q02KzVn40. #HCCA #HortySpringer

When it comes to communicating with healthcare leaders about a requirement or a compliance concern, I’ve found that I need to be mindful of what I like to call “knowledge blind spots.” Ultimately, these expose your organization to added compliance risk. How do you overcome these blind spots and mitigate compliance risk? Here are 5️⃣ tips:  🔹Tip #1: Be Aware That a Knowledge Gap May Exist Keep in mind that your healthcare leaders often will not be as knowledgeable about requirements in regulations or something else as you are. 🔹Tip #2: Close Gaps When You Find Them It’s important to recognize that you may need to take a step backwards and explain certain terminology or concepts you might otherwise not have to think about. 🔹Tip #3: Be Clear About What You Need As you’re removing the blind spot, be very specific about what you need from your audience to comply with the requirements. 🔹Tip #4: Make Information User-Friendly As you educate your leaders to remove the blind spot, make the information easy to find and access.  🔹Tip #5: Acknowledge the Need to “Rinse and Repeat” Depending upon the subject matter of the blind spot, don’t assume that your job is done once you’ve educated your colleagues. You may need to go through the process several times to effectively mitigate your compliance risk. By following these steps, organizations can navigate and effectively close any knowledge blind spots, leading to improved performance, efficiency, and an engagement to a culture of compliance. Read Jay Anstine's full article and download a PDF of his tip sheet here: https://hubs.la/Q02KpFN40 #compliance #healthcare #culture