With healthcare reform and increased scrutiny of providers and suppliers, voluntary compliance programs are a thing of the past. Now, any provider participating in federal healthcare programs must comply with specific rules and regulations. These requirements can be tedious to track and manage. Yet, by implementing an effective compliance program, a company will fulfill its legal duties to provide accurate claims and improve internal workflow processes.
MedTrainer® offers a cloud-based administrative solution that enables an organization’s staff to be personally accountable for maintaining compliance throughout the facility. Your healthcare firm can seamlessly institute sound policy across all departments by introducing a tool that easily outlines, tracks, and summarizes all pertinent compliance information.
Here are just a few of the benefits of a healthcare compliance program:
Avoid Serious Sanctions
In today’s healthcare industry, the OIG no longer tolerates unenforced, “symbolic” compliance programs. To avoid serious sanctions by federal and state regulatory commissions, a facility must actually implement the plan they claim.
The new Compliance Counsel (2015) within the Department of Justice Criminal Division assesses the quality and effectiveness of programs to foster compliance across all regulated industries. The current laws and regulations dictate standards of conduct for all facilities involved in the healthcare industry. Adherence to these standards must occur throughout all aspects of an organization.
Improve Communication Among Healthcare Providers
Many compliance officers may be enforcing effective protocols but have not documented an outline to show to someone outside of the organization. A clear compliance manual and an effective database of documents and deadlines help companies stay organized and prepared at a moment’s notice. It improves communication, cooperation, and collaboration among healthcare providers and those processing the information. It also simplifies the entire process and allows for additional educational opportunities when federal and state agencies adjust compliance standards.
Quickly and Effectively Address Compliance Concerns
With all data in place, a compliance manager saves time scrambling for answers and accurate documentation when the time arises. An efficient communications system will establish a clear structure to address compliance concerns when they occur in regards to patient care and other processes. It promotes prompt and thorough investigation of possible misconduct to expedite the process. Detected offenses can be easily identified, and corrective action can be taken to ensure future compliance.
Establish Credibility Among Peers and Employees
Dedication to honest and responsible corporate compliance conveys to employees and peers that the institution is committed to excellence and outstanding performance. All healthcare organizations need to create a culture of accountability based on teamwork and a structured environment that encourages personal growth through education and compliance adherence.
Healthcare compliance requires effort on the part of all employees in an organization. Health information, patient care, and risk assessment must be handled with attention to detail by staff members across all departments. This ensures not only superior healthcare but also compliance with all applicable state and federal healthcare laws.
Prevent and Detect Unethical Conduct
The False Claims Acts sets forth certain criteria that must be met in order to maintain compliance with governing bodies. An effective healthcare compliance program database with appropriate checks can detect unethical conduct. That knowledge that the reviews are routinely done will prevent breaches and criminal activity. All early detection and reporting minimizes loss to the government from false claims and thereby reduces exposure to penalties, such as program exclusion.
While a structured compliance management system may not entirely eliminate fraud, abuse, and waste, it significantly reduces the risk of unlawful or improper conduct. According to the OIG, a compliance management system is a sound business investment because of the myriad of issues and hurdles it prevents.
MedTrainer®: Modern Solutions to Effective Healthcare Compliance
MedTrainer®’s all-in-one software solution is the ultimate tool in maintaining a compliant and productive healthcare organization. With SDS management, equipment lifecycle management, and other administrative capabilities, our software will give your organization the ability to improve compliance and streamline internal processes. Reduce redundancies and overcome shortcomings in healthcare administration with MedTrainer®.
Contact us today to learn more or to schedule a demo.