Healthcare compliance refers to adhering to specific guidelines, rules, and regulations pertaining to healthcare. Not only do these standards apply to the actual delivery of healthcare services, but there are also ethical and legal guidelines that need to be followed.
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Healthcare compliance refers to adhering to specific guidelines, rules, and regulations pertaining to healthcare. Not only do these standards apply to the actual delivery of healthcare services, but there are also ethical and legal guidelines that need to be followed. Healthcare deals with a significant amount of confidential information, and as a result, there is an abundance of rules you need to be familiar with if you want to stay compliant. There are two main options that practices can choose from to manage their medical compliance. Firstly, they can select an internal team of medical compliance staff who manage and organize all relevant matters. Conversely, your practice might choose to outsource these services to a medical compliance company that will provide various solutions for you. As professional, ethical and legal standards change and grow in complexity, a larger number of businesses are choosing to implement various tools and resources provided by external EMR systems, so they can continue delivering quality healthcare services whilst guaranteeing medical compliance.
The healthcare industry deals directly with the care and protection of patients, so guaranteeing their safety is always of significant importance. On many occasions, healthcare practitioners literally hold the lives of patients in their hands, and there need to be certain standards so we can regulate these scenarios and ensure both patients and providers are protected.
In order to create these regulations, there needs to be some sort of objective measurement that is equally transferable across all forms of healthcare. This way, it guarantees that practitioners delivering any type of healthcare are subjected to adequate compliance. In addition to ensuring patients receive quality care, medical compliance will also protect your practice against fraud, abuse, and various other liability issues. Typically, a medical practice will follow the medical compliance guidelines dictated by local, state, and federal law, in addition to facilitating a specific compliance program internally. This will differ depending on the size and type of healthcare business that you operate, but it should foster an environment wherein staff and patients are encouraged to identify, inform and resolve any issues that are in opposition to the business’s ethical policies.
Management of healthcare compliance will largely depend on the preferences and organizational structure of a practice. Typically, the business will appoint either a singular staff member or a team of staff members who are responsible for following up with medical compliance. Importantly, these teams need to have enough authority to be able to enact certain changes where necessary. It is usually a good idea to include someone from the executive leadership team to ensure that the right steps are being taken to stay compliant. Additionally, although a team dedicated to medical compliance can help with decision-making and the implementation of programs, it is important that every staff member is involved in managing compliance. Fostering a culture of responsibility and transparency will undoubtedly contribute to the most effective and consistent regulation of compliance.
The penalties of not being compliant can result in steep fines, lawsuits, and losing licenses. Given the extent of these consequences, many healthcare companies make the decision to utilize an external company to help manage their compliance. If you decide this is the best option for your practice, the next step is to select a company that will best suit your business needs. Finding the time to do an extensive and thorough analysis of the different available options can be daunting, and we are here to help you with this process. We have collated some of the key factors you want to keep in mind when considering compliance companies to ensure you make the right decision:
Using external companies to manage your medical compliance is undoubtedly a good solution for your healthcare practice, and we highly recommend having a look at Carepatron. Carepatron offers a fully integrated system that has comprehensive and flexible clinical documentation features, helping your physicians consistently produce compliant records. More importantly, as a software for healthcare practices, Carepatron is HIPAA-compliant, and all data that is uploaded into the system undergoes bank-level encryption. The system itself is extremely intuitive and doesn’t require advanced technological skills, meaning that all of your staff members can quickly become experts! Additionally, Carepatron offers two pricing plans. The first version is free and is perfect for individuals or small businesses just starting out. The second option is $29 USD pp/month and offers unlimited access to every Carepatron feature. Whilst the paid package is ideal for larger businesses or those looking to expand, you can upgrade at any time with no hidden costs, facilitating scalability. Regardless of what option best suits your practice, Carepatron will provide the perfect solution for any healthcare business that is interested in managing their medical compliance.