Compliance

Security

How secure is your computer? Do you have a password on your computer? Do you have the automatic log offs turned on? Is your computer encrypted? Are your off-site storage files encrypted?

This document is designed to give some basic information about making your office a little more secure. It is not a substitute for a thorough HIPAA assessment.

However, there are some steps you can take right now to help cut your risk of identity theft, or security breaches. Take steps TODAY!

Human Resources (Resource 125)

Finding the right supportive and productive staff is essential to every healthcare office. Knowing how to find the right people and keep them must be balanced with state and federal regulations regarding employees. You need to be concerned about:

Medicare Definition of Timed Codes (Resource 345)

Many procedure codes are considered "timed codes," that is, the number of units are determined by the amount of time spent performing the service. To clarify questions about this, the Medicare Claims Processing Manual, Chapter 5 - Part B Outpatient Rehabilitation and CORF/OPT Services, states the following (emphasis added):

20.2 - Reporting of Service Units With HCPCS
(Rev. 3367, 10-07-15))

Provider Non-Discrimination FAQ by CMS

If you are an eligible professional participating in the Medicare EHR Incentive Program, you have until February 28, 2015 to attest to demonstrating meaningful use of the data collected during your EHR reporting period for the 2014 calendar year.

HIPAA Helps and FAQs

The Health Insurance Portability and Accountability Act (HIPAA) has been around for quite some time. There are many misconceptions about HIPAA compliance that our office still gets calls about. This page is to help clear up some of these misconceptions.

Compliance Specialists

Compliance specialists are responsible for monitoring health and human services program operations for compliance with federal and state regulations and standards in order to promote health and safety, assure that public services are delivered properly, or prevent fraud. Areas assessed may include service delivery, eligibility determination and payment, medical reimbursement, risk and safety, or operational practices. Responsibilities range from entry level professional to management.

Conducting a job interview for potential new employees is a common occurrence, yet is often done in a manner of disorganization. Employers are frequently asking questions that shouldn't be asked and neglecting to ask those questions that may be more essential for conducting a proper interview. Federal and state laws pose significant liability for employers that ask improper questions that are deemed illegal or that may be interpreted as discriminatory.

All sponsors are required to adopt and implement an effective compliance program, which must include measures to prevent, detect and correct Part C or D program noncompliance as well as FWA.

The compliance program must, at a minimum, include the following core requirements:

 1. Written Policies, Procedures and Standards of Conduct;

 2. Compliance Officer, Compliance Committee and High Level Oversight;

 3. Effective Training and Education;

 4. Effective Lines of Communication;

Effective January 1, 2015, OASIS assessment data will be submitted to CMS via the national OASIS Assessment Submission and Processing (ASAP) system. 

With the implementation of the OASIS ASAP system, Home Health Agencies will no longer submit OASIS assessment data to CMS via their state databases. To access the OASIS ASAP system, you will need a QIES / HHA User ID.  

If you currently have a QIES / HHA User ID no action is required. This User ID will allow access to both the OASIS (ASAP) Submission System and CASPER Reporting System.

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