Healthicity Blog

A compliance hotline is only effective if employees feel safe using it. If team members don’t feel comfortable reporting concerns, risks stay hidden. Fear of retaliation, language barriers, or uncertainty about what happens after a report is submitted can all prevent employees from speaking up.

Healthcare compliance incidents can emerge at any time, like an anonymous report of an over payment, suspicious ePHI access alert, or a whistleblower allegation of suspected fraud. For compliance teams, managing these incidents quickly, accurately, and within federal and other regulations is...

For many healthcare practices, “incident-to” billing is a common strategy used to increase Medicare reimbursements.  It sounds like a smart revenue move. But without a clear understanding of the rules, it can also be a compliance landmine.

Every strong compliance program starts with the ability to identify and act on potential issues — but turning those reports into trackable, manageable actions can be where things start to fall apart.

We're making incident reporting smarter and more flexible with a multi-channel approach – and we’ll show you to how to implement it in your organization.  

Are you looking to simplify your compliance management process? Join us for a live Compliance Manager demo and Q&A session where we’ll explore how to streamline your workflows and enhance visibility into key areas of your compliance program.

Q

What about when there is no sufficient information to substantiate an allegation. What is the best practice for documentation purposes?

Reporting incidents of potential fraud should be on every compliance professional’s radar (because it’s definitely on the OIG’s).