Articles Tagged With: compliance
-
Staying Compliant Can Be Challenging in 2025
Compliance is always a main concern for healthcare leaders, but some periods can be more challenging than others. Different federal administrations address compliance in different ways, and it is important to understand their particular areas of focus.
-
Compliance Outlook Finds Challenges in 2025
Healthcare compliance risk managers should brace for substantial compliance challenges in 2025.
-
Supreme Court Ruling Could Be ‘Sea Change’ for Healthcare
The Supreme Court ruling reversing the earlier Chevron determination giving deference to federal agencies to interpret rules will have a significant impact on the healthcare industry, but the effects will not come all at once.
-
Chevron Ruling Will Bring Uncertainty to Healthcare Compliance
The Supreme Court’s recent ruling sharply reducing the power of federal agencies to interpret the laws they administer might produce major changes in healthcare compliance in the coming years.
-
Compliance Requirements Continue to Change, Need Close Attention
Healthcare compliance is a never-ending challenge, and the expectations change constantly. Staying abreast of new developments is essential. Some of the latest involve the False Claims Act, Medicare risk adjustments, and HIPAA enforcement.
-
Attorney-Client Privilege Is Vital, but Know Limitations
Attorney/client privilege can be vital in defending malpractice cases and managing other risk management issues. But sometimes, it is misunderstood by risk managers in healthcare, and missteps can have significant implications. Understanding attorney-client privilege is the first step to taking advantage of this important protection.
-
Apologizing Still Works, But Ensure It Is Done Correctly
Saying “I’m sorry” after an adverse event has become more accepted in recent years to express the clinician or administrator’s sincere regret at the unfortunate outcome, which was discouraged for many years for fear it would be seen as a legal admission of guilt. On the contrary, it has been shown to diffuse the emotions of a patient or family member and diminish the likelihood of litigation. But exactly how those words of regret are spoken can be important.
-
Risk Managers Valued in Compliance Program Guidance from OIG
The Department of Health and Human Services Office of Inspector General recently issued its new General Compliance Program Guidance, the first of a series of compliance guidelines expected from the OIG, providing guidance, tools, and references addressed to federal healthcare program providers and suppliers. OIG makes clear that risk managers are an integral part of the effort.
-
Making Sense of the CMS Discharge Planning Rule
Working to maintain compliance with Centers for Medicare & Medicaid Services rules is a challenge. But when the messaging seems confusing or inconsistent, the task is that much more difficult.
-
What to Expect After a HIPAA Violation
Discovering a HIPAA violation in your organization inevitably causes anxiety about what will follow and how bad the consequences can be. Understanding the process and what to expect can ease some of the worry and help you manage the process to the best possible resolution.