Healthicity Blog

According to a recent post on Justice.gov, “A Detroit, Michigan-area doctor was sentenced to 72 months in prison today for his role in a $10.4 million conspiracy to defraud the Medicare program.”

In our latest Compliance Conversations episode, I sat down with product development expert, Jeff Young, to discuss tools that can simplify compliance and make you more effective as a compliance officer.

An organization that fails to create and maintain an effective compliance program could be forced to return overpayments. And providers may face severe civil, criminal, and financial penalties.

There are a lot of great tools on the market nowadays that can make your workday a lot easier. Investing in the right tools frees up a lot of your time to work on compliance issues. Instead of spending your time tracking down emails and sign in sheets.

When Trent Stechschulte joined Equitas Health as their Compliance Officer, he discovered a compliance program that wasn’t living up to its potential. Like many compliance programs there were a slew of manual processes, incidents going unreported and trainings that were conducted few and far between.

“Although compliance program design is not a “one size fits all” issue, Boards are expected to put forth a meaningful effort....”.

We all know the value of getting your board on board with compliance.

As we’ve talked about recently, when it comes to compliance violations, incorrectly managing Business Associates is often the culprit behind larger compliance violations. Like the recent settlement where OHSU was nailed for 2.7 Million Dollars.

As we discussed in our previous incident management posts, your compliance program doesn’t need to be perfect, but rather, it needs to be “generally effective” in preventing non-compliance.