๐ฅ Coffey Modicaโs Joelle Duval comments on the implications of the reopening of the Health Information Technology for Economic and Clinical Health (HITECH) audit program and a new round of audits of HIPAA-regulated entities in Julyโs edition of Healthcare Risk Management. ๐๐๐ ๐๐ช๐๐๐ฉ๐จ ๐จ๐๐ค๐ช๐ก๐ ๐ฃ๐ค๐ฉ ๐จ๐ฉ๐ง๐๐ ๐ ๐ฉ๐ค๐ค ๐ข๐ช๐๐ ๐๐๐๐ง ๐๐ฃ ๐ฉ๐๐ ๐๐๐๐ง๐ฉ๐จ ๐ค๐ ๐๐ค๐ซ๐๐ง๐๐ ๐๐ฃ๐ฉ๐๐ฉ๐๐๐จ ๐ฉ๐๐๐ฉ ๐๐ง๐ ๐ข๐๐ ๐๐ฃ๐ ๐ ๐๐ค๐ค๐ ๐๐๐๐ฉ๐ ๐๐๐๐ค๐ง๐ฉ ๐ฉ๐ค ๐๐ค๐ข๐ฅ๐ก๐ฎ ๐ฌ๐๐ฉ๐ ๐๐๐๐ผ๐ผ, ๐จ๐๐ฎ๐จ ๐ ๐ค๐๐ก๐ก๐ ๐ฟ๐ช๐ซ๐๐ก, ๐ ๐ฟ, ๐๐ฃ ๐๐ฉ๐ฉ๐ค๐ง๐ฃ๐๐ฎ ๐ฌ๐๐ฉ๐ ๐ฉ๐๐ ๐พ๐ค๐๐๐๐ฎ ๐๐ค๐๐๐๐ ๐ก๐๐ฌ ๐๐๐ง๐ข ๐๐ฃ ๐๐๐๐ฉ๐ ๐๐ก๐๐๐ฃ๐จ, ๐๐. โ๐๐๐๐ก๐ ๐๐ฉ ๐๐ค๐๐จ ๐ฌ๐๐ฉ๐๐ค๐ช๐ฉ ๐จ๐๐ฎ๐๐ฃ๐ ๐ฉ๐๐๐ฉ ๐ฃ๐ค๐๐ค๐๐ฎ ๐ก๐๐ ๐๐จ ๐ฉ๐ค ๐๐ ๐๐ช๐๐๐ฉ๐๐, ๐ก๐๐๐จ๐ฉ ๐ค๐ ๐๐ก๐ก ๐๐ฎ ๐ฉ๐๐ ๐๐ฃ๐๐ฉ๐๐ ๐๐ฉ๐๐ฉ๐๐จ ๐๐ค๐ซ๐๐ง๐ฃ๐ข๐๐ฃ๐ฉ ๐ฉ๐๐ง๐ค๐ช๐๐ ๐๐๐ ๐ค๐ง ๐ฉ๐๐ ๐๐๐ (๐๐ฃ๐ฉ๐๐ง๐ฃ๐๐ก ๐๐๐ซ๐๐ฃ๐ช๐ ๐๐๐ง๐ซ๐๐๐), ๐๐ค๐ซ๐๐ง๐๐ ๐๐ฃ๐ฉ๐๐ฉ๐๐๐จ ๐ฉ๐๐๐ฉ ๐๐๐ซ๐ ๐๐ค๐ข๐ฅ๐ก๐๐๐, ๐ค๐ง ๐ข๐๐๐ ๐ ๐ซ๐๐ก๐๐๐ฃ๐ฉ ๐๐ฃ๐ ๐๐๐ข๐ค๐ฃ๐จ๐ฉ๐ง๐๐๐ก๐ ๐๐ฉ๐ฉ๐๐ข๐ฅ๐ฉ ๐ฉ๐ค ๐๐ค๐ข๐ฅ๐ก๐ฎ ๐ฌ๐๐ฉ๐ ๐ฉ๐๐ ๐ข๐ฎ๐ง๐๐๐ ๐ค๐ ๐ง๐๐๐ช๐ก๐๐ฉ๐๐ค๐ฃ๐จ ๐๐ฃ๐ ๐ฅ๐ง๐ค๐ฉ๐๐๐ฉ๐๐ค๐ฃ๐จ ๐ข๐๐ฃ๐๐๐ฉ๐๐ ๐๐ฎ ๐๐๐๐ผ๐ผ, ๐จ๐๐ค๐ช๐ก๐ ๐ฉ๐๐ ๐ ๐๐ค๐ข๐๐ค๐ง๐ฉ ๐ฉ๐๐๐ฉ ๐ฉ๐๐๐๐ง ๐๐๐๐ค๐ง๐ฉ๐จ ๐ฌ๐๐ก๐ก ๐จ๐๐๐๐ก๐ ๐ฉ๐๐๐ข ๐๐ง๐ค๐ข ๐ซ๐๐ค๐ก๐๐ฉ๐๐ค๐ฃ๐จ, ๐ค๐ง ๐จ๐ช๐๐จ๐ฉ๐๐ฃ๐ฉ๐๐๐ก๐ก๐ฎ ๐ง๐๐๐ช๐๐ ๐ฉ๐๐ ๐๐ง๐ช๐จ๐๐๐ฃ๐ ๐๐๐ฃ๐๐จ ๐ฉ๐๐๐ฉ ๐๐๐ ๐๐จ ๐ ๐ฃ๐ค๐ฌ๐ฃ ๐ฉ๐ค ๐๐๐ซ๐ ๐๐ค๐ง ๐ซ๐๐ค๐ก๐๐ฉ๐๐ค๐ฃ๐จ ๐ค๐ ๐ฅ๐ง๐ค๐ฉ๐๐๐ฉ๐๐ ๐๐๐๐ก๐ฉ๐ ๐๐ฃ๐๐ค๐ง๐ข๐๐ฉ๐๐ค๐ฃ,โ ๐จ๐๐ ๐จ๐๐ฎ๐จ. ๐ฟ๐ช๐ซ๐๐ก ๐จ๐ช๐๐๐๐จ๐ฉ๐จ ๐ฉ๐๐๐ฉ ๐ฉ๐๐๐จ๐ ๐๐ค๐ซ๐๐ง๐๐ ๐๐ฃ๐ฉ๐๐ฉ๐๐๐จ ๐จ๐๐ค๐ช๐ก๐ ๐๐ซ๐๐ฃ ๐๐ ๐ฅ๐ง๐ค๐ช๐ ๐ฉ๐ค ๐๐ ๐๐ข๐ค๐ฃ๐ ๐ฉ๐๐ค๐จ๐ ๐จ๐๐ก๐๐๐ฉ๐๐ ๐๐ค๐ง ๐๐ช๐๐๐ฉ ๐๐ฎ ๐๐๐ ๐ฉ๐ค ๐๐๐ข๐ค๐ฃ๐จ๐ฉ๐ง๐๐ฉ๐ ๐ฉ๐ค ๐ค๐ฉ๐๐๐ง ๐๐ค๐ข๐ฅ๐๐ง๐๐๐ก๐ ๐๐ค๐ซ๐๐ง๐๐ ๐๐ฃ๐ฉ๐๐ฉ๐๐๐จ ๐ฉ๐๐๐ฉ ๐๐ค๐ข๐ฅ๐ก๐๐๐ฃ๐๐ ๐๐จ ๐ฅ๐ค๐จ๐จ๐๐๐ก๐ ๐๐ฃ๐ ๐จ๐ก๐๐ฅ-๐ช๐ฅ๐จ ๐๐ค๐ง๐๐๐ซ๐๐๐ก๐ ๐ฉ๐ค ๐ ๐ก๐๐ง๐๐ ๐๐๐๐ง๐๐ โ โ๐๐ซ๐๐ฃ ๐๐, ๐๐ช๐จ๐ฉ ๐ก๐๐ ๐ ๐ฉ๐๐ ๐ค๐ฃ๐ ๐จ๐ฉ๐ช๐๐๐ฃ๐ฉ ๐ฉ๐๐๐ฉ ๐๐ก๐ฌ๐๐ฎ๐จ ๐จ๐๐ฉ ๐๐ฃ ๐ฉ๐๐ ๐๐ง๐ค๐ฃ๐ฉ ๐ง๐ค๐ฌ ๐ค๐ ๐ฉ๐๐ ๐๐ก๐๐จ๐จ ๐๐ฃ๐ ๐ง๐๐๐จ๐๐ ๐๐๐จ/๐๐๐ง ๐๐๐ฃ๐ ๐๐ค๐ง ๐๐ซ๐๐ง๐ฎ ๐ฆ๐ช๐๐จ๐ฉ๐๐ค๐ฃ, ๐ฉ๐๐๐ฎ ๐๐ง๐ โ๐๐๐ฉ๐๐โ ๐๐ค๐ง ๐ฅ๐๐จ๐จ๐๐ฃ๐ ๐ฉ๐๐ ๐๐ค๐ช๐ง๐จ๐ ๐๐ฃ๐ ๐๐ก๐ฌ๐๐ฎ๐จ ๐ ๐ฃ๐ค๐ฌ๐๐ฃ๐ ๐ฉ๐๐ ๐๐ฃ๐จ๐ฌ๐๐ง.โ ๐ ๐ฅ๐ฒ๐ฎ๐ฑ ๐๐ต๐ฒ ๐ณ๐๐น๐น ๐ฎ๐ฟ๐๐ถ๐ฐ๐น๐ฒ: https://lnkd.in/e3G_-aGY #HealthcareIT #HIPAACompliance #HealthLaw
Coffey Modica LLPโs Post
More Relevant Posts
-
๐ Exciting News for Healthcare Compliance Professionals! ๐ After years of waiting, the Office of Inspector General (OIG) has finally issued an updated guide on compliance programs. As a long-time user of this guide in both my professional work and teaching, I'm thrilled with this release. It's packed with insights on fraud prevention, federal law compliance, risk assessment, and auditing. Key elements of a compliance program: 1. Compliance Program Infrastructure 2. Effective Lines of Communication with the Compliance Officer and Disclosure Programs 3. Enforcing Standards: Consequences and Incentives 4. Risk Assessment, Auditing, and Monitoring 5. Responding to Detected Offenses and Developing Corrective Action Initiatives 6. Investigations of Violations 7. Reporting to the Government and Implementing Corrective Action Initiatives How about penalties? OIG has the authority to pursue monetary penalties and exclusion through the Civil Monetary Penalties Law (CMPL). Under the CMPL, OIG can pursue assessments in lieu of damages, Civil Monetary Penalties (CMPs), and exclusion from participation in Federal health care programs. The CMPL primarily addresses fraudulent and abusive conduct. Additionally, OIG has additional CMP authorities aimed at specific types of conduct unique to HHS and the Federal health care programs. Feedback OIG does ask for feedback. You can email [email protected]. They are specifically interested in receiving feedback about general compliance considerations and risk areas. Additionally, for questions unrelated to the General Compliance Program Guidance (GCPG) or the Industry Compliance Program Guidance (ICPGs), you can contact OIG through [email protected] for exclusions-related questions, and [email protected] for general inquiries. This updated guide is a game-changer for anyone dedicated to upholding the highest compliance standards in healthcare. #HealthcareCompliance #OIGGuide #ComplianceEducation ๐
To view or add a comment, sign in
-
This week, OIG issued modernized General Compliance Program Guidance (GCPG), the first of its anticipated new guidance documents for the health care industry. In addition to reiterating the 7 elements of an effective compliance program, highlights include guidance for right sizing a compliance program to both large and small entities, and a specific call out of #privateequity and other private investment in health care as a potential pain point for compliance. The GCPG does not provide the much-awaited entity- or industry-specific guidance, which will be the subject of forthcoming publications. Read more about the updated GCPG in this article written by my colleagues Nicole Aiken-Shaban, Lesley Reynolds, and Matthew Loughran. #healthcare #compliance
HHS OIG Issues General Guidance as First Step in Effort to Modernize Compliance Guidance | Health Industry Washington Watch
https://www.healthindustrywashingtonwatch.com
To view or add a comment, sign in
-
The OIG's recently issued General Compliance Program Guidanceย covers a broad array of compliance topics in a digestible reference guide that will make life easier forย #healthcarecomplianceย professionals and will be a benefit to allย #healthcareย industry stakeholders. We explain how this guide may assist a range of organizations. #healthlaw
OIG Issues General Compliance Program Guidance
stevenslee.com
To view or add a comment, sign in
-
In late 2023, The Office of Inspector General (OIG) at the Department of Health and Human Services issued its newย General Compliance Program Guidance. In this podcast,ย David Schumacher, Partner and Co-Chair of the Fraud & Abuse Practice atย Hooper Lundy & Bookmanย explains that this document is both evolutionary and revolutionary. For years the OIGโs office had been offering guidance through the Federal Register. To make that information more accessible it moved it online, consolidated the information, added interactive features and created a much richer resource which makes it both easier for compliance teams to understand the OIGโs expectations and more difficult for some to claim that they were unaware of the rules. The changes, though, are more than just the media used to communicate OIG expectations. The document demonstrates both the ongoing expectations by OIG for robust compliance programs and communicates changes in focus. For one, it reveals an enhanced emphasis on quality issues in healthcare and patient safety. It also reflects the OIGโs efforts to ensure effective compliance program in new entrants into healthcare, such as private equity and technology firms. Both may well discover that practices that are permissible elsewhere are not in healthcare. The guidance also encourages incentivizing compliance. Another gem in the guidance is the clear message to carefully scrutinize arrangements with third parties. Due diligence at the outset is important, but it is also necessary on an ongoing basis to determine if the relationship is necessary and the price tag is fair market value. Listen in to learn more, and be sure to check out theย General Compliance Program Guidance. https://lnkd.in/gYW8J5gQ
To view or add a comment, sign in
-
๐ฆ Navigating the Complex Landscape of Healthcare Compliance ๐ฆ ย In the dynamic world of healthcare, staying informed about federal compliance regulations is crucial ๐ง. A pivotal piece of this puzzle is the Civil Monetary Penalties Law (42 U.S.C. ยง 1320a-7a), targeting those who submit false claims. It's vital for healthcare professionals to understand and adhere to these regulations to avoid severe penalties ๐ซ๐ฒ. ย The essence of these laws lies in maintaining high ethical standards in healthcare. Non-compliance can lead to financial setbacks and erode trust in healthcare services. Staying ahead in this domain is not just about avoiding penalties; it's about committing to ethical practice ๐ค. ย EPICompliance simplifies this challenge with comprehensive tools and services. Our offerings, including online courses covering HIPAA, ACA/OIG-Medicare, and OSHA, provide a streamlined approach to compliance ๐๐ง. ๐ Click here: https://epicompliance.com/ ย ๐๐ฅ How does your practice navigate these complex compliance regulations? Share your strategies and thoughts below ๐. Let's engage in a meaningful discussion! ย โค๏ธ Stay updated. Stay compliant. With EPICompliance. ย #HealthcareCompliance #FraudPrevention #HIPAA #EPICompliance ย ย
To view or add a comment, sign in
-
-
Compliance Officers: Read the New OIG General Compliance Program Guidance! The OIG's updated General Compliance Program Guidance is a crucial resource for healthcare compliance officers. Our blog post below authored by Kirk Davis and Danielle Gordet, Esq., M.P.H. provides key insights โ equipping healthcare stakeholders with the knowledge they need to mitigate risks to their organizations. #HealthCareLaw #OIGGuidance #Compliance https://lnkd.in/gSsTB-F2
To view or add a comment, sign in
-
-
What does trust have to do with compliance? In the early days of my career working in healthcare compliance, I struggled with the question of building trust in such a complex landscape. In healthcare, trust isn't just a nice to have. It's an absolute necessity. But how do you get it? As I navigated the world of compliance programs, I discovered the answer lay in the meticulous crafting of policies and procedures, the unwavering commitment to following regulations, and the pursuit of excellence in patient care. With each step, I realized that trust wasn't merely a byproduct of complianceโit was the essence of it. When patients and stakeholders could trust in the integrity of our organization, when they knew that the healthcare organization is not only doing the right thing but looking out for their best interest, that's when real trust grew. So remember, when trust flourishes, patient care improves, organizations thrive, and reputation exceeds the expectation for the industry, especially in healthcare. Is there room for growth within your own company? #Compliance #Trust #HealthcareCompliance
To view or add a comment, sign in
-
-
Read our healthcare compliance team's takeaways from the recent OIG General Compliance Program Guidance, led byย Greg Demskeย andย Matt Wetzel. https://lnkd.in/eBmzrb62
A Practical Look at OIGโs New Compliance Guidance | Insights & Resources | Goodwin
goodwinlaw.com
To view or add a comment, sign in
-
The Office of Inspector General recently released a new Healthcare Compliance Guidance reference guide useful for understanding healthcare compliance. At its core, it provides a good summary of the laws and regulations central to what we do. However, it doesnโt delve into the nuances that come with experience, so always reach out to you Compliance Professional if you have concerns or questions! https://lnkd.in/ebv3P53D
General Compliance Program Guidance
oig.hhs.gov
To view or add a comment, sign in
-
Partner at Deloitte Advisory | Strategic Healthcare Leader | Regulatory, Risk, and Compliance Expert
The regulatory framework for healthcare compliance is becoming increasingly complex. Recent audits and settlements have highlighted significant gaps in compliance, emphasizing the need for robust risk assessment practices. According to Deloitte's 2024 Health Care Industry Outlook, there have been notable impacts on healthcare organizations due to increased regulatory scrutiny. Join us TOMORROW for ourย next quarterly webcastโ #HealthCare #RegulatoryCompliance Hot Topics Roundtableย on June 18thย at 11am ET. For this quarter, we will cover: โข an overview of recent settlements, investigations, and audits that have significantly impacted healthcare organizations. โข leading practices and considerations for privacy, helping you navigate complex regulatory requirements with confidence. โข critical regulatory developments in 340B, Section 1557, and hospital laboratories essential for maintaining a robust compliance workplan. Register now: https://lnkd.in/eydJzaEZ Don't miss this opportunity to gain insights from industry experts and ensure your organization stays ahead of the curve! Jimmy Firth, Kristi Preuss, Joseph DeSimone, Sarah Stratton, Jenny Penafiel #HealthCare #Compliance #Legal #RevenueCycle #Deloitte #RegulatoryCompliance #Privacy
To view or add a comment, sign in
-
๐ธ Headshot Maestro | Connector | Elevating Personal Brands with Artistry ๐ | Event Photography | Family Photography | HeadshotCrew Associate Photographer | Hot Sauce + Winemaker
2moJoelle great perspectives on the HITECH audits. Compliance efforts definitely pay off in the long run! Kudos Coffey Modica LLP