The Core Elements The Patient Protection and Affordable Care Act of 2010 (PPACA) made Office Compliance Programs mandatory for all physician practices as a condition of enrollment in Medicare, Medicaid, and/or CHIP. These compliance programs must address certain core elements.1 The core elements are derived from the Federal Sentencing Guidelines for an effective compliance and…
A Closer Look at Your Compliance Status
Compliance Check-Up Before starting a compliance program, it is best to assess your current status. Even if you are new to OIG compliance, we recommend that you assess and document your status. It is a great way to visualize the clinic’s needs and look back at what you have accomplished. Locate the Quick Assessment support…
What is OIG
In the early stages of implementation it is vital that a clinic understand what a healthy OIG program involves. A clinic must separate rumor from fact. Equally important is to understand that taking shortcuts can cost the clinic in more ways than one. Take a moment to watch Kathy’s Mini Class titled What Does OIG…
Reference Documents – HIPAA & Patient Access
Download Reference Documents The following documents explain in great detail the Information Blocking rule and HIPAA’s Right of Access. We encourage the clinic to download these documents and make them part of your insurance reference manual. Be sure to use these resources as a guideline when developing your Medical Record Policy. AMA What Is Information…
FAQ-Patient Access & Information Blocking Rule
Patient Access & Information Blocking Rule FAQs As these rules are finalized and more information is made available, we will keep adding questions and answers to this portion of the module. Most of these questions are submitted to KMC University’s helpdesk by clinics. Please take a moment to review these for additional information. Q: Is…
HIPAA Record Retention & Disposal
What to Do When Time is Up Many have wondered if the HIPAA Privacy rule requires covered entities to keep patient’s records for a set period of time. The answer according to Health and Human Services (HHS) is “No, the HIPAA Privacy Rule does not include medical record retention requirements.” Rather, State laws generally govern…