Healthcare 2020-04-16T20:24:14+00:00

The Challenge

Healthcare organizations and providers are required to develop effective processes, policies and procedures to define appropriate conduct and train the organization’s staff. Then they must monitor adherence to those processes, policies, and procedures. Healthcare regulatory compliance covers numerous areas including patient care, billing, reimbursement, managed care contracting, OSHA, the Joint Commission on Accreditation of Healthcare Organizations, and HIPAA privacy and security.

Due to the volume and complexity of this regulatory framework, most healthcare organizations and providers rely upon specialists in healthcare compliance to develop, implement and update their compliance programs. A large healthcare organization can have hundreds of people working under its chief compliance officer. The complexity of compliance poses many challenges to today’s healthcare organizations. Some of these challenges include:

  • Ongoing, pertinent and accurate training and education for all employees
  • Maintaining compliance and accreditation with the increased use of cloud providers in accordance with HIPAA
  • Keeping up with changes in technology and the associated regulations
  • The effects of patient involvement via online portals providing access to records
  • Developing, maintaining and updating policies without creating conflicts or overlap
  • Routine audits of existing security and privacy policies
  • Changes relating to patient privacy imposed by the recent implementation of the General Data Protection Regulation (GDPR)
  • Maintaining accountability at all levels
  • Applying the appropriate disciplinary measures when regulations are violated

Compliance Objectives

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