The 1996 Health Insurance Portability and Accountability Act (HIPAA) specifically puts a premium on healthcare compliance.
And when your healthcare business is HIPAA-compliant, you can easily reduce your legal risks and avoid future costly errors. Thus, you can equally build trust with your customer base, showing your customers you care about keeping them safe.
In effect, you get to build a trustworthy corporate reputation, demonstrating a strong commitment to honest and responsible corporate conduct.
Anyone in the healthcare field is familiar with HIPAA. This law requires doctors, nurses, and other medical staff to protect their patients' privacy at all times. Where compliance once meant keeping a close watch on patient charts and not divulging sensitive information within earshot, it now means securing digital data systems to avoid a breach.
Specifically, US federal regulators want businesses to fulfill their legal duty to ensure they do not submit false or inaccurate claims to government and private payers.
The Office of Inspector General (OIG) of the US Department of Health and Human Services (HHS) has underscored the importance of healthcare compliance programs, especially on medical billing claims.
An effective compliance program provides a mechanism that brings the public and private sectors together to reach mutual goals of reducing fraud and abuse, improving operational quality, improving the quality of health care and reducing the costs of health care, according to OIG guidance. Attaining these goals provides positive results to business, government, and individual citizens alike.
Moreover, the OIG has cited numerous additional benefits when a business implements a strong compliance program.
These include better medical record documentation, as well as better collaboration, effective communication, and cooperation among healthcare providers and those processing and using health information.
Additionally, an effective compliance program can become a centralized source for distributing information on health care statutes, regulations, and other program directives related to fraud, abuse, and related issues.
An effective compliance program may not entirely eliminate fraud, abuse, and waste from an organization. However, establishing one significantly reduces the risk of unlawful or improper conduct.
Healthicity's compliance and auditing software has provided healthcare solutions to various business enterprises, helping bring better quality assurance to healthcare services.
With its audit management and automated tools, Healthicity solutions have reduced chances of coding errors, billing mistakes, or false claims.
Healthicity, a sister company of the American Academy of Professional Coders (AAPC), is an enterprise-centric brand for software services.
For medical coding professionals looking to build the compliance knowledge these programs depend on, see TDS Global Solutions' medical coding training.
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