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7 Elements of an Effective Compliance Program [Healthcare …

WEBJoi is an educator and owner of JNC Healthcare Compliance Group. After working for distinguished academic teaching hospitals and clinics, she is passionate about helping …

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URL: https://www.jnccompliance.com/healthcare-compliance-tips-7-elements-of-an-effective-compliance-program/

Healthcare Compliance Resource Library

WEBJoi Sherrod, MPH, CPC, CPCO. [email protected]. Joi is a Certified Professional Coder and Compliance Officer. Throughout her seventeen years’ in the industry, she …

Category: Health Go Health

5 Tactics to Combat Healthcare Fraud

WEBIn this series, I shared that the government recovered five billion dollars from the healthcare False Claims Act in 2021, one of the most significant recoveries in the history of …

Category: Health Go Health

Compliance Plan [Healthcare Compliance Tips]

WEBSince the Affordable Care Act enactment, the U.S. Department of Health and Human Services (HHS) and Office of Inspector General (OIG) state all healthcare providers and …

Category: Health Go Health

OIG Compliance 101 [Healthcare Compliance Tips]

WEBOIG Compliance 101 & Provider Education. Purpose: Developed by the Office of Inspector General (OIG), this free educational resource was created to help healthcare providers, …

Category: Health Go Health

Centers of Medicare & Medicaid Services [Healthcare Compliance …

WEBCMS is part of the Department of Health and Human Services (HHS). They administer programs such as Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), …

Category: Health Go Health

Electronic Health Record (EHR) [Healthcare Compliance Tips]

WEBJoi is an educator and owner of JNC Healthcare Compliance Group. After working for distinguished academic teaching hospitals and clinics, she is passionate about helping …

Category: Health Go Health

Auditing & Monitoring [Healthcare Compliance Tips]

WEBJoi is an educator and owner of JNC Healthcare Compliance Group. After working for distinguished academic teaching hospitals and clinics, she is passionate about helping …

Category: Health Go Health

Stark Law [Healthcare Compliance Tips]

WEBDifference #2: The Stark Law only applies to Medicare and Medicaid. AKS applies to all Federal health care programs. Difference #3: AKS requires that intent is proven. …

Category: Health Go Health

Anti-Kickback Statute [Healthcare Compliance Tips]

WEBUnder the CMPL, penalties for violating this law may include three times the amount of the kickback, plus up to $100,000 per kickback (as of 2018). Individuals or entities may face …

Category: Health Go Health

Write-Offs [Healthcare Compliance Tips]

WEBJoi Sherrod, MPH, CPC, CPCO. Joi is an educator and owner of JNC Healthcare Compliance Group. After working for distinguished academic teaching hospitals and …

Category: Health Go Health

Employee Training [Healthcare Compliance Tips]

WEBHealing people through healthcare and compliance. Train at new employee orientation and annually thereafter. Per the SAI Global and Strategic Management’s “ 2019 Healthcare …

Category: Health Go Health

HIPAA & Marketing Rule [Healthcare Compliance Tips]

WEBJoi is an educator and owner of JNC Healthcare Compliance Group. After working for distinguished academic teaching hospitals and clinics, she is passionate about helping …

Category: Health Go Health

Communication Policies & Procedures [Healthcare Compliance Tips]

WEBCreate communication policies and procedures. In Part II of “The Blame Game: 5 Tips to Restore Practice Communication,” one must truly understand the rules to end the blame …

Category: Health Go Health

Office for Civil Rights [Healthcare Compliance Tips]

WEBJoi Sherrod, MPH, CPC, CPCO. Joi is an educator and owner of JNC Healthcare Compliance Group. After working for distinguished academic teaching hospitals and …

Category: Health Go Health

OIG Work Plan [Healthcare Compliance Tips]

WEBOIG Work Plan. Purpose: This plan was created to provide you with a snapshot of various projects that are already underway during the current fiscal year. The updates discussed …

Category: Health Go Health

Minimum Necessary & PHI Use [Healthcare Compliance Tips]

WEBMinimum Necessary. Minimum necessary means to disclose the minimum amount of PHI needed for the intended purpose. Your compliance team will play a role in creating a …

Category: Health Go Health

Coding Errors [Healthcare Compliance Tips]

WEBHere are 8 of the most common medical coding errors found by the AMA: Failing to check National Correct Coding Initiative (NCCI) edits when reporting multiple codes. Failing to …

Category: Medical Go Health

Billing Statements [Healthcare Compliance Tips]

WEBProvide clarity around your billing statements. The last tip discussed the importance of accurate financial policies to help ease the concern of patients. And after you […]

Category: Health Go Health

Give Small Gifts [Healthcare Compliance Tips]

WEBHowever, small gifts can still be given as an overall effort to show appreciation for being an individual or team player. Examples of small gifts are: $5 fast food or coffee gift cards. …

Category: Food Go Health

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