The world of healthcare legislation is constantly changing, leaving healthcare organizations scrambling to comply with the many regulations and requirements set by state and federal governments. Learning to avoid and correct mistakes in compliance will always be one of the biggest challenges in the healthcare industry.
Laws Always Changing
Several recent laws are shaking up the healthcare industry. Uncertainty over the Affordable Care Act is one of the biggest concerns, not to mention new laws about concurrent and retrospective review, medical necessity, patient safety, readmissions reduction programs, quality improvement, and more.
A huge change to healthcare over the last couple of years is the institution of the Medicare Access and CHIP Reauthorization Act (MACRA) and the final ruling for Advanced Alternative Payment Models (Advanced APMs) and Merit-based Incentive Payment Systems (MIPS). These new rulings are designed to protect healthcare organizations, insurance providers, and patients with payment quality and billing regulations for Medicare.
There are also constantly changing technologies and innovations that influence the way healthcare must be carried out. For example, telemedicine has several rules about prescriptions and care that require compliance in order to ensure high quality care and patient safety. There are also concerns about reimbursement for crossing state borders and other legal issues that arise when healthcare in one state is offered electronically to others.
Keeping Up with Evolving Laws
In any of these situations, failing to comply puts you at risk for fines and other difficulties in your practice. But when things are changing so quickly, how do you keep up?
- Hire a Compliance Coordinator
One of the best ways to offer top quality care and keep in line with regulations is to hire someone for the job. A compliance coordinator would be in the know on any current and future changes to healthcare. They’ll monitor your daily dealings and alert you of any errors that need correcting.
- Use Compliance Software
Automation is a huge help in the healthcare sector. When you install compliance software, such as Governance, Risk, and Compliance software from SAP, you can confidently manage and control compliance in any situation. You’ll lower your business risk and work towards achieving your objectives. You’re much less likely to make mistakes when you use this software to manage your needs.
- Train Regularly on Compliance
It’s great to have staff and systems in place to catch errors, but it’s better to avoid them to begin with. Hold regular training on regulations and compliance matters. Address both the newest legislation and regulations, as well as mistakes your staff might frequently make.
Your compliance coordinators should head up these meetings. They can share their latest updates and provide tips and tricks for avoiding mistakes. Having the coordinator in charge will establish the chain of command so that future issues can be handled quickly and efficiently.
In Conclusion: Make Your Plan Now
Compliance in healthcare will change frequently. Organizations must stay knowledgeable about laws and compliance issues. Mistakes in this area could shut down a business as well as put lives at risk.
Due to frequent changes, it’s essential that organizations have a plan in place. Read up on best practices and develop a system that will catch and correct errors as they come.