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Compliance resolutions for the New Year

Executive Briefings Digest, January 6, 2003

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To improve your compliance program, experts suggest compliance officers add these resolutions to their lists:

1. Learn how to prepare for an independent audit or criminal investigation by knowing about attorney-client privilege rules, subpoenas, document demand letters, and auditing standards, suggests Hank Vanderbeek, MPA, CIA, CFE, a consultant with HAV Compliance Services in Haverhill, MA.

2. Focus on medical necessity and physician documentation. "I think the government will be placing more pressure on fiscal intermediaries and carriers to request supporting documentation to ensure payments are only made for medically necessary services," says Brian Kozik, director of compliance and audit services for North Shore Medical Center in Salem, MA.

3. Act quickly once the HIPAA final security rule is released to make sure it is in line with patient privacy rules, and keep an ongoing focus on the many challenges involved with HIPAA, says Kozik.

Source: Strategies for Health Care Compliance,
http://www.hcmarketplace.com/Prod.cfm?id=237&S=EEBD

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