Harmony Healthcare Blog

Compliance Risk Areas: Top 19 Risk Areas

Posted by Kris Mastrangelo on Thu, Oct 12, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Risk Areas are present in every healthcare organization.  Skilled Nursing Facilities must perform Annual Risk Assessments to determine, rank and prioritize focus areas for the work plan. Sometimes, this task can be overwhelming. In order to help streamline this task, it is wise to reference The Budget Reconciliation Act (OBRA) of 1987, and past OIG Reports that highlight areas of concern for by Skilled Nursing Facilities: 

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Topics: Compliance

Compliance Series - 7 Elements: #7 Enforcement, Discipline and Incentives

Posted by Kris Mastrangelo on Tue, Oct 10, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


As a finalization of the 7-Post Blog Series on Compliance, today we will explore #7 Enforcement, Discipline and Incentives.

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Topics: Compliance

Compliance Series - 7 Elements: #6 Responsibility and Oversight Committee

Posted by Kris Mastrangelo on Tue, Oct 03, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


As a continuation of the 7-Post Blog Series on Compliance, today we will explore #6Responsibility/Oversight/ Committee. 

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Topics: Compliance

Compliance Series - 7 Elements: #5 Auditing and Monitoring

Posted by Kris Mastrangelo on Tue, Sep 26, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


As a continuation of the 7-Part Blog Series on Compliance, today we will explore Auditing and Monitoring. 

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Topics: Compliance

Compliance Series - 7 Elements: #4 Prevention and Response

Posted by Kris Mastrangelo on Tue, Sep 19, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


As a continuation of the 7-Part Blog Series on Compliance, today we will explore Prevention and Response. 

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Topics: Compliance

Compliance Series - 7 Elements: #3 Education and Training

Posted by Kris Mastrangelo on Wed, Sep 13, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


As a continuation of the 7 Blog Series on Compliance, today we will explore Education and Training. 

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Topics: Compliance

Compliance Series - 7 Elements: #2 Reporting and Investigating

Posted by Kris Mastrangelo on Thu, Sep 07, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


As a continuation of the 7 Part Blog Series on Compliance, today we will dive into Reporting and Investigating. 

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Topics: Compliance

Compliance Series - 7 Elements: #1 Policies and Procedures

Posted by Kris Mastrangelo on Tue, Sep 05, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


As a continuation of last week’s blog post, we are reviewing the seven elements of an effective Compliance Program.  To reiterate, it is necessary to develop and implement a Compliance Program with the following key elements: 

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Topics: Compliance

Compliance Series: 7 Elements of An Effective Compliance Program

Posted by Kris Mastrangelo on Tue, Aug 29, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


CMS revised paragraph §483.85(b) to accurately indicate that the operating organization for each Skilled Nursing Facility must have in operation a Compliance and Ethics program by November 28, 2019, (Phase 3). A technical error occurred on page 68869 of the October 4, 2016, Final Rule.  CMS incorrectly stated that the each facility must have an in operation compliance and ethics program by November 28, 2017.  CMS corrected this error. 

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Topics: Compliance

Developing an Effective Compliance Program: Policies and Procedures

Posted by Joyce Sadewicz on Fri, Apr 07, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


The Requirements of Participation require a Compliance and Ethics program to be implemented in each facility in Phase 3 by November 28, 2019.  While this appears to be a long time to prepare, it takes many months to develop and implement an effective compliance program.  One of the foundations of an effective compliance program is Policies and Procedures including Standards and a Code of Conduct or Corporate Philosophy.  The Standards or Code of Conduct should state the company’s commitment to compliance with federal and state standards, express the company’s goals, mission, values and ethical requirements, and the expectations that all staff, including management and the governing board, comply with the standards.  

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Topics: Compliance

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