Ensure compliance with increasingly stringent government regulations.

Government regulations aim to safeguard patients and everyone who enters a healthcare facility. Are you aware of all that you need to do to comply with these regulations? As these regulations change, do you have a plan to maintain compliance? If not, you run the risk of being found non-compliant and consequently being subject to penalties and sanctions. Are you vulnerable?

THE CHALLENGE

Healthcare facilities, physician practices, and medical laboratories are challenged daily by growing regulatory controls, such as:

  • HIPAA Standards introduced by the Health Insurance Portability and Accountability Act to protect patients' privacy and medical records
  • HITECH Security breach notification requirements enacted with the Health Information Technology for Economic and Clinical Health Act (Deadline: 2/17/2010)
  • 'Red Flag' Rules requiring the development and implementation of identity theft prevention programs (Deadline: 6/1/2010)
  • OSHA Requirements established by the Occupational Safety and Health Adminstration to ensure a safe and healthful work environment
  • CLIA Clinical Laboratory Improvement Amendments that impose quality standards for all testing
  • RAC Recovery Audit Contractor program to identify improper Medicare payments

THE SOLUTION

Aware of the difficulty that healthcare providers have in staying abreast of OSHA, CMS, OIG, and FTC regulatory requirements, these agencies recommend onsite audits to assess your current level of compliance and to develop a plan to achieve and maintain full compliance going forward. Additionally, the Centers for Medicare and Medicaid Services (CMS) advocate establishing organizational cultures that foster the prevention and detection of non-compliance.

THE OPPORTUNITY

MediStar Compliance Services include a full range of offerings, from onsite risk analysis to the development of compliance plans, from workforce training to the implementation of maintenance plans. Drawing upon extensive practice management experience and a working knowledge of regulatory requirements, our consultants and trainers can develop and implement a comprehensive compliance program customized to the specific needs of your practice and facility.

TAKE THE PATH TO FULL COMPLIANCE

Let MediStar regulatory experts guide you on the path to achieving and maintaining full compliance with the latest government regulations for the healthcare industry. We recommend focusing initially on three areas of major importance:

  • Billing and Coding, to ensure that you are coding correctly and being properly reimbursed for the healthcare services you provide and that you have an effective compliance plan
  • HIPPA, to put procedures in place to protect your patients' records and health-related information and identity
  • OSHA, to eliminate anything that threatens the safety or health of those who work in or visit your facility

FIVE STEPS TO ACHIEVE AND MAINTAIN COMPLIANCE

A MediStar consultant can provide you with each of the following:

1. An onsite compliance risk analysis
2. A confidential risk assessment, including a written report
3. A comprehensive, customized compliance plan, based on a fact-finding survey of your procedures and files
4. Training sessions and assistance with plan implementation
5. Periodic audits to ensure ongoing compliance

Pam Nole, Director of Consulting Services at MediStar, is certified by the American Institute of Healthcare Compliance (AIHC) as a Certified Medical Compliance Manager with expertise in the OIG Compliance Plan, False Claims Act, HIPAA, OSHA and CLIA. She can be reached at 203-536-1623 or nole@MediStarBilling.com.

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