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Julie Sheppard, BSN, JD, CHC

Home/Julie Sheppard, BSN, JD, CHC

About Julie Sheppard, BSN, JD, CHC

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So far Julie Sheppard, BSN, JD, CHC has created 26 blog entries.

3 Common Misconceptions about MIPS

Even though the largest healthcare fraud takedown in history occurred in July, 2017, QPP, MACRA, MIPS and APMs continue to dominate the compliance conversation. Confusion and discontent are present as providers and managers struggle to make decisions regarding their approach to regulations that will determine the amount of their future Medicare reimbursements. Results of a

3 Tips to Become a Happier Compliance Officer

Dissatisfaction at work is a common topic and a recent Gallup poll confirms anecdotal evidence that American workers are not engaged.  Therefore, they aren’t enthusiastic or involved at work.   What does all of this mean for compliance officers and administrators who are often serving dual roles? Unfortunately, they may be even more likely to

The Complicated World of Exclusion Screening

Protecting patients and promoting quality in healthcare are generally accepted goals for providers and employers.  However, even with the positive purpose and intent behind exclusion screening, complicated decisions must be made to achieve appropriate allocation of resources. Stakes are high due to the potential impact on patient care, individual employees, and the entire organization, so

4 Common Compliance Myths Debunked

Compliance in healthcare is comprised of complex laws and regulations.  This complexity often leads to confusion.  It’s not surprising that a few common myths exist.  If you’re responsible for compliance and would like to separate fact from fiction, keep reading.   Myth #1:  We’re a small organization and there’s no way we can be expected

Prepare Your Staff to Meet an Auditor or Investigator

When a healthcare entity is the target of a government investigation or audit, it is the Compliance Officer who is responsible for leading the response to, and coordinating and tracking all steps and details of the challenging and unnerving process.  In responding appropriately to such government requests or contacts, it is important to not only

Define Your Relationship- Vendor or Business Associate?

Healthcare organizations have many relationships to manage, including patients, providers, payers, and vendors.  On top of this, some relationships require a Business Associate Agreement (BAA) to comply with HIPAA. In order to determine if such an agreement is necessary, it is crucial to look at each relationship individually in order to provide proper treatment and

Stark Law and Strict Liability

The genesis of the Stark Law, also known as the Physician Self-Referral Law [42 U.S.C. § 1395nn], occurred in 1988 when a congressman named Pete Stark proposed the law to prevent medical doctors from sending Medicare and Medicaid patients to any healthcare entity to which the doctor, or an immediate family member, has a financial

Compliance Program: What is the Value?

The value placed on a compliance program varies greatly with perspective and remains difficult to define. Obviously, the purpose of a compliance program is to prevent and deter wrongdoing. A strong program preempts problems. However, it is difficult to know what might happen in the future or what could have gone wrong in the past.

Jumpstart Your Compliance Program

The beginning of the New Year is a popular time for new initiatives. Many healthcare organizations are looking for ways to improve quality and reduce risk. A compliance program is an effective way to detect, deter and prevent wrongdoing in the healthcare setting and an ongoing system assures conformity with governing laws and regulations. An

Overview of a Corporate Integrity Agreement (CIA)

Health care fraud recoveries for fiscal years 2009- 2014 exceeded previous records with five straight years of more than $2 billion in annual recovery from cases involving fraud and false claims against federal health care programs such as Medicare and Medicaid.  Most healthcare providers are aware of significant civil liability due to recent enforcement. However,