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Compliance is "Preventive Medicine" for your Organization.

 

Physicians Financial & Management Services created the division Healthcare Compliancy Internal Resources (HCIR) to help assist healthcare organizations in all compliance related laws, regulations, issues and investigations that are now starting to come from federal, state, and local organizations.  HCIR is committed to provide quality, comprehensive coverage to all of our clients in a fully customized program.  Our goal is to provide the best services in a professional and timely manner assuring the highest in healthcare compliance for your healthcare organization.

 

Think of a Compliance Program as “Protective Shield” against fraudulent and/or erroneous conduct, and protection against laws, regulations, fines & penalties.  Compliance Programs are “Quality Assurance” to your Healthcare Organizations.

 

 

 

 

The HCIR Compliance Program Solution

 

 

HCIR will assist with clients in the creation of self-monitoring system of checks and balances to ensure that the client consistently complies with applicable laws relating to both business and healthcare activities.  The program follows the seven key elements of compliance recommended by the OIG.

 

We will provide Assessments and Audits to include:

· Initial Risk Assessments to identify key issues within organization

· Privacy & Security, Safety and other Assessments to ensure accordance with laws such as HIPAA, OSHA, CLIA, etc.

· Create programs to investigate and follow-up on issues of non-compliance

 

We will assist in the creation & regulation of compliance including:

· Internal controls to monitor and maintain proper compliance policies and procedures

· Integration of an employee manual – to help create & enforce policies and procedures

· Assistance or creation of documentation/forms for clients relating to compliance program

 

n  Visit HCIR Online at www.hcir.net | www.whatiscompliance.com

n  Download the HCIR/PFMS Compliance Brochure (PDF)

 

 

 

7 Elements of Compliance

 

Healthcare Compliance Internal Resources (HCIR) has developed and implemented a customized compliance program in accordance with the client’s Code of Conduct.  It is required that all providers and personnel adhere to all components of the Program as it applies to their duties and responsibilities that relate to these seven compliance elements suggested by the federal government and Office Inspector General (OIG).

Establishing compliance standards through the development of a code of conduct and written policies and procedures

 

Assigning compliance monitoring efforts to a designated compliance officer or contact

 

Conducting comprehensive training and education on practice ethics and policies and procedures

 

Conducting internal monitoring and auditing focusing on high-risk billing and coding issues through performance of periodic audits

 

Developing accessible lines of communication, such as discussions at staff and community bulletin boards, to keep practice employees updated regarding compliance

 

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

 

Responding appropriately to detected violations through the investigation of allegations and the disclosure of incidents to appropriate Government entities

 

More information and resources can be found in the HHS/OIG Federal Register 65 FR 36818.

 

 

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Establishing compliance standards through the development of a code of conduct and written policies and procedures