From Report on Medicare Compliance - Although Medicare accountable care organizations (ACOs) received another year of relief from fraud-and-abuse laws with the Oct. 17 extension of waivers from CMS and the HHS Office of Inspector General, they may be dropping the ball on the public disclosure and other requirements. At the same time, ACOs face additional challenges as they travel up the learning curve of the Medicare Shared Savings Program (MSSP). They must embed compliance into numerous physician offices, for example, and ensure privacy and security are preserved while communicating quality data. Read more
From Report on Patient Privacy - Anne Adams, whose titles include chief compliance officer and chief privacy officer for Emory Healthcare, was glad to “get the call” seeking her participation in a meeting of an “operations team” to discuss how the Atlanta-based health system was going to handle communications related to a patient with Ebola. Read more
From Report on Medicare Compliance - How board members respond to reports of a compliance issue at their organization may turn partly on whether the compliance officer has a personal relationship with them, according to a former federal prosecutor. “You need a personal relationship with the board and it can’t begin when you identify problems. It needs to begin when you are hired, so when you go to the board and say ‘there’s a problem,’ it feels… Read more
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