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Below are some primary services that are performed and implemented by Healthcare Compliance Internal Resources in accordance with the seven key elements of compliance (as used by the OIG).

 

Written Policies

& Procedures

 

 

Establishing your practice’s compliance standards through the development of a code of conduct via written policies & procedures


■  HCIR Creation & Integration of a Compliant Employee Policy & Procedure Manual tailored specifically for you

■  Providing Proper Documentation and Forms for Implementing and Maintaining Compliance within organization

■  Online resource for all information on compliance, from government laws to helpful websites

 

 

Designated Compliance Officers

 

Assigning compliance monitoring efforts to a person or persons via compliance program activities within your organization


■  Designation of Personnel within your organization to work with HCIR on the Compliance Program

■  Training and Education for Officers that will be the “eyes and ears” of compliance within organization

■  Will hold monthly meetings with compliance officers and briefly review compliance issues of client

 

 

Comprehensive Training & Education

 

Conducting training & education on practice ethics, policies, and procedures


■  Will provide regular meetings/seminars on top problematic areas within the organization to all personnel.

■  Certify and Re-Certify employees that require specialization training, and make sure personnel are up to date

■  Use outside resources in training & education (Specialists in areas such as OSHA, HIPAA, etc)

■  Online tools for individual training and education on all of compliance

 

 

Internal Monitoring

& Auditing

 

Conducting monitoring efforts focusing on high-risk billing, coding, and general office issues through performance of audits


■  Performance of  Assessments & Audits on your organization to find problematic areas in your practice & address them (Covers HIPAA, CLIA, OSHA, CMS, General Office Issues, and all other areas in compliance)

■  Implement tools for the monitoring of your personnel for non-compliant activities that protects you up front

■  Online reporting & monitoring tools to monitor everything in compliance simply at the push of a button

 

 

Accessible Lines

of Communication

 

Developing communication within office, such as discussions at meetings regarding compliance issues and community bulletin boards, to keep personnel updated with all of compliance


■  HCIR uses and implements several methods of communication of compliance between them and the client – from Telephone Hotline Numbers, Mobile contacts and email addresses, to Confidential Reporting Forms.

■  Provides an open forum for members of HCIR to communicate openly about compliance issues program

■  Implements tools (recommended by the OIG) for flow of communication, from Drop Boxes to Bulletin Boards

■  Communicates Regularly with the Compliance Officers to regularly monitor and update client’s program

 

 

Enforcing Disciplinary Standards

 

Enforcing actions & standards by making clear stances or ensuring employees are aware that compliance is treated seriously and violations will be dealt with consistently and uniformly


■  HCIR recommends a listing of disciplinary standards and actions (found within manual) and reviews with client

■  Along with Compliance Officer(s), will strictly enforce non-compliance issues and treat every investigation seriously and uniformly to prevent any notion of discrimination

 

 

Responding Appropriately to Issues

 

Able to respond to violations through investigative means of allegations and the disclosure of incidents to appropriate government entities


■  HCIR installs and implements a standardized investigational system for all issues and violations

■  Implements and uses compliant forms and documentation for all issues and investigations

■  Works with Compliance Officers on issues and implements policies to remove problematic areas of compliance