Healthcare Compliance

Affordable Compliance Solutions for Any Healthcare Organization.

compliance diagram
Healthcare Compliance2024-04-10T10:31:00-04:00

Our experienced compliance professionals work closely with your team to evaluate your organization’s adherence to industry regulations, policies, and procedures. We identify areas of improvement and provide actionable recommendations, ensuring your practice remains compliant and financially secure.

  • Assigned Compliance Team
  • Compliance & Technical Support

  • Customized Policies & Procedures

  • Online Training

  • Compliance Updates

  • Tracking & Reporting

  • Forms Database

Frequently Asked Questions (FAQs) for Healthcare Compliance Services

What is a Healthcare Compliance Program?2024-03-27T12:39:37-04:00

Healthcare compliance refers to the ongoing process of meeting or exceeding the legal, ethical, and professional standards applicable to a healthcare organization. A compliance program includes written guidance and actions to prevent and detect violations of laws, regulations, and other standards that could give rise to liability.

What is the Importance of a Healthcare Compliance Program?2024-03-27T12:39:37-04:00

An effective healthcare compliance program helps healthcare organizations avoid costly penalties, fines, or even criminal charges, and ensures that they are adhering to regulatory guidelines and ethical standards. It also promotes better communication, improved patient care, and a stronger overall bottom line.

What are the Key Elements of an Effective Compliance Program?2024-03-27T12:39:37-04:00

The seven standard elements of an effective compliance program include: (1) Implementing written policies & procedures and a Code of Conduct; (2) Designating a compliance officer and compliance committee; (3) Conducting effective training and education; (4) Developing effective lines of communication (e.g., Hotline); (5) Conducting internal monitoring and auditing; (6) Enforcing standards through well-publicized disciplinary guidelines; and (7) Responding promptly to detected problems and undertaking corrective action.

What are the Responsibilities of a Compliance Officer?2024-03-27T12:39:37-04:00

A Compliance Officer is responsible for overseeing compliance within an organization and ensuring adherence to applicable laws, regulatory requirements, Code of Conduct, professional standards, accepted business practices, and internal standards. They have a duty to identify and manage regulatory risk, and provide reasonable assurance to senior management and the board that effective and efficient policies and procedures are in place.

What are the Common Compliance Regulations in Healthcare?2024-03-27T12:39:37-04:00

Some common healthcare compliance regulations include the Health Insurance Portability and Accountability Act (HIPAA) for patient privacy, Stark Law for physician referrals, the Anti-Kickback Statute for healthcare fraud and abuse, and the Affordable Care Act (ACA) for various provisions related to healthcare organizations and insurance providers.

How does HIPAA Impact Healthcare Compliance?2024-03-27T12:39:37-04:00

HIPAA is a federal law in the United States that protects patients’ health information and ensures its confidentiality and availability. It requires healthcare organizations to establish safeguards, privacy practices, and policies to protect patient data and maintain compliance with HIPAA regulations.

What is a Compliance Plan?2024-03-27T12:39:37-04:00

A Compliance Plan is a statement of intent and proposed actions for achieving compliance objectives, while a compliance program relates to actions to implement the plan. A Compliance Plan should be tailored to the specific needs and risks of an organization and should be regularly reviewed and updated to ensure its ongoing effectiveness.

How Can Contracting Compliance Services Help?2024-03-27T12:39:37-04:00

Properly experienced and knowledgeable professionals can provide high-value services for day-to-day compliance program management, while seeking permanent replacements. This can help fill gaps in compliance staffing, provide a fresh perspective on compliance risks, and ensure that an organization is taking the necessary steps to prevent and detect violations of laws, regulations, and other standards that could give rise to liability.

How can Healthcare Organizations Stay Informed about Compliance Changes?2024-03-27T12:42:34-04:00

Staying informed about changes in compliance regulations and guidance is essential for maintaining a compliant healthcare organization. This can be done through regular review of relevant publications, attendance at industry conferences, and/or engagement with experienced compliance consultants or legal counsel. The DOJ and DHHS OIG websites also provide information about compliance-related issues, as well as updates on their Work Plans and priorities.

Extensive range of professional healthcare services.

Practice Synergy, your trusted partner for comprehensive healthcare provider services! Our mission is to simplify the complexities of healthcare administration, allowing you to focus on what you do best: providing top-notch patient care.

Click on a service box to the right, to learn more about how we can help your practice.

Click on a service box below, to learn more about how we can help your practice.

Enrollment and Credentialing Services

Simplify and streamline healthcare provider enrollment with insurance companies.

Credentials Management

Effectively manage credentials status and reminders to stay up-to-date for your providers.

Healthcare Compliance

Ensure regulatory compliance and mitigate risks with our comprehensive healthcare compliance solutions.

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Practice Synergy has been providing enrollment services and advice to us for over 5 years.

Practice Synergy’s credentialing services have been invaluable to our organization, streamlining the complex process with efficiency and precision, ensuring seamless integration into healthcare networks. Their expertise and attention to detail have been instrumental in optimizing our credentialing experience.

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Benefits of partnering with Practice Synergy.

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  • Our areas of expertise include New Jersey (NJ), New York (NY), Delaware (DE), and Pennsylvania (PA). We have a strong understanding of the unique processes and requirements in these states.

  • We take pride in our commitment to staying current with the evolving provider enrollment requirements and procedures.
  • We stay apprised of Medicare/Medicaid procedures and regulations to ensure our clients receive accurate and complete enrollment services. Our commitment to thoroughness and compliance is a top priority for us.

  • Our clients have access to a 24/7 client portal and receive regular status reports, allowing them to stay informed and up-to-date on the progress of our services at all times. This approach ensures transparency and open communication, which are key to building trust and delivering high-quality services.

Other Companies

  • Limited knowledge of payers in service area.

  • Limited knowledge of payers’ enrollment processes. Delays in credentialing/provider enrollment often occur because the vendor is uninformed of changes to the application process.

  • Limited knowledge of Medicare/Medicaid enrollment rules and regulations.

  • Limited to no status updates provided. No transparency – no client portal.

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