Enacted in late 2020 as part of the Consolidated Appropriations Act of 2021 with an effective date of Jan. 1, 2022, the No Surprises Act (NSA) underscores its primary purpose is to protect patients from surprise medical bills when receiving certain services from – emergency services, non-emergency services from nonparticipating providers at participating facilities, and air ambulance service from nonparticipating providers. (86 Fed. Reg. 36872 (Jul. 13, 2021)).
The COVID vaccination landscape, both within the healthcare sector and at other businesses, is in flux. It’s challenging to keep up with current requirements and recommendations. At First Healthcare Compliance we strive to serve as a trusted resource and provide answers to frequently asked questions.
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX and Bruce Lynskey, Co-Founder, Director, and Chief Executive Officer at ePrevenir will be presenting with us. Negotiating occurs in every facet of business and law. From contractual negotiations through settlement negotiations, it is a delicate dance. There are a variety of classic negotiation techniques, which include extreme posturing and “anchoring”. Healthcare and cybersecurity present unique challenges because of the looming exposure to a government investigation and either a civil and/or criminal action, even if a settlement is reached between two private parties. The purpose of this presentation is to provide approaches when negotiating contracts, settlements, and other items, which arise in healthcare and the cybersecurity industries.
Compliance is a must for every healthcare provider or healthcare organization to provide good quality services while controlling their costs and adhering to all the applicable laws. The process requires an organization to meet the legal, ethical and professional standards applicable to it by developing effective processes, policies and procedures for patient care, billing, managed care contracting, and all other aspects. The ultimate goal of a compliance program is to prevent fraud, waste, or abuse in the healthcare segment.
HIPAA was signed into law 25 years ago on August 21, 1996. Over the past two and a half decades, there have been a multitude of changes in the healthcare industry and technology. The three concepts that remain constant are preserving the confidentiality, integrity, and availability of a patient’s protected health information. In this “ode to HIPAA”, participants will glimpse some of the lesser known or emphasized aspects of HIPAA, as well as key parts of its history, recent enforcement actions, and anticipated developments.
The Office of the Inspector General (OIG) of the Department of Health and Human Services, U.S. has published the seven fundamental elements of an effective compliance program. Healthcare organizations should create a compliance program that can reduce fraud, abuse liability, and waste. If the compliance management software that you are considering doesn’t have mechanisms to address all these elements, it is not a comprehensive solution and won’t fully protect you from OCR audits and fines.
One of the most crucial, yet complex, aspects of the healthcare sector is ensuring compliance. Every organization and individual offering healthcare or healthcare-related services needs to be aware of the regulations and laws and follow compliant practices. This is the only way to stay protected and achieve long-term success in the sector.