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.
Frequently Asked Questions (FAQs) for Healthcare Compliance Services
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.
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.
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.
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.
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.
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.
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.
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.
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.
Testimonial
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.
Pain Management Practice
Hainesport – NJ
Benefits of partnering with Practice Synergy.
See how we compare against other provider enrollment services companies.
