Compliance Trouble Spots for Health Care Providers

The major regulatory changes scheduled to take effect during the next few years will create increased compliance challenges for health care providers. As such, it’s more important than ever that providers stay abreast of new developments in the regulatory landscape.

Some of the biggest compliance changes on the way involve:

  • Health information exchanges
  • The bundling of services
  • Value-based purchasing
  • ICD-10 implementation
  • Centers for Medicare & Medicaid Services (CMS) core measures
  • Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) standards

Health care providers should pay special attention to potential trouble spots that increase the risk of administrative or criminal penalties, including HIPAA issues and state and federal privacy laws. Penalties for violations are sometimes significantly reduced if the organization has a strong compliance program in place.

Health care regulatory compliance issues are constantly evolving. A well-designed compliance program not only reduces the risk of violations, but also can increase profits. An experienced health care compliance attorney can help you develop and implement an effective compliance program.

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Posted in: Compliance