Summary of 2017 Compliance Activity

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Presentation transcript:

Summary of 2017 Compliance Activity Billing and Coding-Related Activity HIPAA/Privacy EthicsPoint (Compliance Hotline) Compliance Education

Billing and Coding 2017 Work Plan Results Key Areas of Focus: Ongoing Monitoring

Unscheduled Audits/Projects Increased government focus expected to continue Agency Centers for Medicare and Medicaid (CMS) WPS Government Health Administrators (GHA) Strategic Health Solutions (ZPIC) For Cause

HIPAA Privacy Investigations Key Focus Areas Patient identification processes during registration and discharge processes Implementation of Epic user access audit tools Review of HIM process controls related to Release of Information Review of process and controls related to fax number directories Continued education on process for secure email and exploration of controls within Outlook application

EthicsPoint Numbers 2017 No significant cases reported Significant cases would include: Serious law violations Reputational harm or serious risk Issues triggering financial restatement Other serious risk to operations or financial position

EthicsPoint Numbers 2017 Increased volume attributed to: Increased awareness of hotline; and Recurring issues from a few specific departments

Corporate Compliance Education 2018 Curriculum Orientation Materials New Workforce Course Annual Workforce Course Risk Area Webinars Risk Area Seminars On Demand Education 2017 Completion: Continue to partner with HSO’s Liaisons and HRBP to ensure completion.

Appendix 2017 Year End Report External Reviews/Audits Internal/For Cause Compliance Audits Stark Self-Disclosures RAC Activity HIPAA/Privacy Activity Provider-Based Activity Overall Work Plan Summary