In our January 2022 blog, we talked about fraud, waste, and abuse and touched on compliance programs. The article prompted questions and comments from quite a few organizations and questions of late suggest it might be a good time to do a deeper dive on compliance programs.
Compliance “programs” are sets of policies & procedures specifically designed to help an organization adhere to law and regulation. These policies and procedures are specifically set up to detect, prevent, and correct fraud, waste, and abuse. Medicare requires any provider to have such a program and they have very specific content they want these policies to contain.
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Topics:
Security,
Billing,
HQAA Accreditation,
Compliance,
Avoiding Deficiencies,
Complaint Process,
Business Practices,
Marketing,
Surveys,
OIG
Harry Truman, the 33rd President of the United States had a famous slogan, which appeared on a plaque on his desk: “The Buck Stops Here”. Referring to “passing the buck”; that is, shifting blame or responsibility, the saying demonstrates a person’s willingness and ability to take responsibility, find solutions, and lead by example.
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Topics:
HQAA Accreditation,
HME Accreditation Requirements,
Business Practices,
Surveys
A dictionary defines disclosure as “the action of making new information known or the action or process of revealing information.” In the medical world, healthcare providers define disclosure as “a release of information to persons or entities other than the patient who is the subject of the information.”
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Topics:
HQAA Accreditation,
HME Accreditation Requirements,
Compliance,
Business Practices,
DMEPOS
You could write a book about “employee vs. contractor” pros, cons, legality, and operational efficiency. In fact, there are books written about that very subject. There are also lawyers who specialize in employment law who advise companies about how to structure their staffing around those two broad categories of staff. While accreditation organizations won’t delve into the legalities (that’s for the lawyers to do), accreditation standards DO in fact address both categories of staffing.
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Topics:
Employee Training,
Personnel Files,
HQAA Accreditation,
Clinical Practice Guidelines,
Quality Care,
Retail,
Delivery,
Clinical Respiratory Services,
Competence,
Customer Service,
Business Practices,
Surveys,
Equipment
In the durable medical equipment industry—as well as in life—it always pays to have a backup plan! Whether its backing up data on the cloud, having contingency plans for staffing issues, or having multiple suppliers for a particular piece of equipment, these plans have saved countless heartaches, businesses, and even lives. While all of these are important, let’s focus today on a company’s responsibility to have adequate back up equipment for their existing customer/patients.
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Topics:
Business Practices,
Equipment
Nothing strikes fear into the hearts of DME owners, managers, and staff more than the Office of the Inspector General (the “OIG”). The fear is perhaps deserved by an extremely small handful of industry people. The vast majority of our industry rank and file have nothing to fear from this sometimes maligned and misunderstood government agency.
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Topics:
Billing,
HQAA Accreditation,
HME Accreditation Requirements,
Compliance,
Avoiding Deficiencies,
CMS,
Business Practices,
OIG
In early September 2021, President Biden issued an executive order instructing OSHA to issue a standard requiring employers to require vaccination or weekly testing for Covid 19. There are exceptions including religious exemptions and also various disabilities (a physician’s statement that a person cannot receive the vaccination). The executive order applies to all Federal employees, contractors, healthcare workers, and employees of private sector employers with 100 or more employees. Various dates for implementation are mentioned in the order-- most of them are in November and/or December of 2021.
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Topics:
Personnel Files,
Business Practices
Ask any owner what they think the most intrusive part of an accreditation survey is and chances are pretty good they’ll mention the financial documents review portion. In my experience, this is because of two equally important reasons: 1) It is certainly information that a business owner does not like or feel comfortable sharing, and 2) Many -if not most- DME business owners are more conversant in and knowledgeable talking about the day to day issues they face in their businesses. Things like new billing software, technological advances with medical equipment, and those new “Sprinter” delivery vehicles are all topics that they love to chat about with fellow business owners. How much money they actually put in their pockets and how difficult (or easy) it was to pay the bills that keep the lights on are topics we just don’t feel as comfortable sharing.
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Topics:
Billing,
Business Practices,
Surveys
Because of the nature of our work, the durable medical equipment industry did not close our doors, shelter in place, or shut down for the Covid-19 Pandemic. We did, however, change the way we do business in many ways. Some of these changes will undoubtedly get back to normal as our nation and the world climb out of the pandemic. And of course, many of these changes will become the “new normal” and are destined to remain changed forever. At the time this blog article is being written, HQAA is carefully monitoring the industry as well as law and regulation and CMS policy to determine how accreditation surveys will be performed in both the short and long term. More on that in the weeks to come.
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Topics:
Employee Training,
HIPAA,
HME Accreditation Requirements,
Patient File Requirements,
Materials Management,
Showroom,
Retail,
Delivery,
Oxygen,
Warehouse,
Customer Service,
Business Practices,
Marketing,
Infection Control
Here we are several months into the pandemic. It appears perhaps the worst is behind us and the world is slowly starting to re-open. For many, the novelty of sheltering in place has worn off and folks are ready to get back to work. In the durable medical equipment industry, work has continued as our companies have been considered “essential services” and for the most part, stayed open and done business during and despite Covid-19.
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Topics:
Patient File Requirements,
Showroom,
Retail,
Delivery,
Warehouse,
Work,
Business Practices,
Infection Control