Compliance Today

  1. Meet LeToia Jenkins-Crozier: Adding value by being an active participant

    Compliance Today - June 2021  | Author: Adam Turteltaub  | June 2021 

    AT: You have spent your entire career in healthcare. What led you to the industry?...

  2. Navigating healthcare compliance in a new world: A snapshot of the OIG 2021 Work Plan

    Compliance Today - June 2021  | Authors: Gabriel L. Imperato, Ariel J. Cavazos  | June 2021 

    While 2020 will undoubtedly always be referred to as the 21st century’s annus horribilis, the world experienced a similarly devastating pandemic more than a century ago. The pandemic of 1918 infected more than 500 million people, killing at least 50 million people worldwide.[1] While the pandemic of 1918 was fought and defeated with far fewer resources, healthcare providers were not tasked with navigating that pandemic with today’s overwhelming guidelines and laws set in place to defend against potential fraud, waste, and abuse. Today, the healthcare provider entities and systems combatting COVID-19 are burdened with federal and state regulations and a...

  3. The 2021 Medicare Physician Fee Schedule: Remote services and diagnostic testing supervision changes

    Compliance Today - June 2021  | Author: Daniel F. Shay  | June 2021 

    The 2021 Medicare Physician Fee Schedule (MPFS) final rule represents one of the last major regulatory changes in the healthcare arena promulgated by the Trump administration.[1] Several of the most significant changes are simply the finalizing on a permanent basis those temporary emergency measures taken in response to the COVID-19 public health emergency (PHE). This article is not intended as an exhaustive examination of all changes within the 2021 MPFS final rule, but rather is a closer exploration of several such changes...

  4. Major changes of E/M office visits entered into 2021

    Compliance Today - June 2021  | Author: Madhavi Perumpalath  | June 2021 

    The most significant changes to evaluation and management (E/M) coding in many years took effect January 1, 2021.[1] The new E/M coding rules will allow you to choose from new patient codes 99202–99205 and established patient codes 99212–99215 based on either medical decision-making (MDM) or time. (Established patient code 99211 will still be valid, but the descriptor will not reference MDM or time.)...

  5. Research compliance virtual sessions: Innovation from necessity

    Compliance Today - June 2021  | Authors: David Staley, Hannah Hyland  | June 2021 

    David Staley (david.staley@childrenscolorado.org) is Research Compliance Officer and Hannah Hyland (hannah.hyland@childrenscolorado.org) is Research Compliance Analyst at Children’s Hospital Colorado...

  6. Treat or task? Recipe for effective training amid the pandemic

    Compliance Today - June 2021  | Author: Veronica Xu  | June 2021 

    “My husband and I couldn’t stand our long gray hair anymore, so we had to take actions. Fearing the coronavirus, we decided to do it ourselves. We first watched the YouTube videos. Then, we put the chair in front of the TV to simulate the beauty salon environment in a hope to make it more relaxing for both of us. I used to enjoy going to the hair salon to get my hair done, because it was a treat for me. But now, it is simply an annoying task. It took us three hours to shorten and dye each other’s...

  7. Are you ready for ESG?

    Compliance Today - June 2021  | Author: Gerry Zack  | June 2021 

    Environmental, social, and governance (ESG) issues are rapidly becoming an important topic for compliance professionals. If you think ESG is something that only publicly traded companies need to address, think again. Public companies are pushing ESG expectations down onto their supply chains and other business partners. More importantly, it has become obvious that there are many more stakeholders than shareholders. Employees, customers, patients, board members, and others have taken a keen interest in ESG and are driving expectations for organizations...

  8. Are we really getting all the correct information from our IT systems?

    Compliance Today - June 2021  | Author: Catherine Boerner  | June 2021 

    The compliance department relies on information technology (IT) systems to provide the lists of individuals to be assigned to receive the code of conduct and compliance training. These lists of individuals provided are also key to initiate and maintain monthly sanction check screening for the List of Excluded Individuals and Entities and System for Award Management (formerly the Excluded Parties List System maintained and updated by the General Services Administration)...