Steven Baruch - Health Care Compliance Association

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ARE YOU PREPARED FOR THE RAC AUDITOR Take control with a strong defense December 2010 12 www.compliance360.com The RAC Auditors will soon be calling on your hospital. The RAC appeals process is very complex and missed deadlines can result in the automatic recoupment of your legitimate revenues. To minimize your risk of financial losses, you need to be prepared with practical, reliable processes and controls to ensure that critical appeals deadlines are met, with complete, substantiated information. Compliance 360 is the leader in compliance and risk management solutions for healthcare. More than 300 hospitals nationwide rely on us every day to ensure compliance with legal and industry regulations. Using our unique software solutions, they are always “audit ready” with both proactive defenses and the audit management tools needed to ensure successful audit response and appeals. We are proud to help these healthcare organizations prevent and contain compliance sanctions and we stand ready to help you as well. To learn more about the Compliance 360 Claims Auditor for managing RAC audits, visit www.compliance360.com/RAC or call us at 678-992-0262 NEEDS A LO Health Care Compliance Association • 888-580-8373 • www.hcca-info.org
Social Networking John Falcetano Editor’s note: John Falcetano, CHC-F, CCEP-F, CHRC, CHPC, CIA is Chief Audit/Compliance Officer for University Health Systems of Eastern Carolina and Treasurer of the HCCA Board of Directors. John may be contacted by e-mail at jfalcetano@uhseast.com. This month, I though I would focus on another function of our social networking site: The ability to blog and comment on particular compliance topics. Today’s column provides some insight to the world of blogs. Suj Shah, from Chicago recently blogged about two ways to strengthen your employee hotline. The following are excerpts from his blog. Two ways to strengthen your employee hotline “Fear of retaliation for speaking up about ethical violations in the workplace not only affects whether workers are willing to report wrongdoing to management, it drives the level of misconduct itself,” according to a recent study released by the Ethics Research Center. See Research Brief, Retaliation: The Cost to Your Company and Its Employees (http:// www.ethics.org/files/u5/Retaliation.pdf). Second, employees are less willing to report wrongdoing when it is perceived that the report will not be taken seriously. One of the proposed amendments to the Organizational Sentencing Guidelines also emphasizes “taking reasonable steps” in reaction to incidents. See Amendments to the Sentencing Guidelines: http://www.ussc.gov/2010guid/20100503_ Reader_Friendly_Proposed_Amendments.pdf. Strengthen your employee hotline by a clear non-retaliation policy and a commitment to appropriate and timely report follow-up.” Web 2.0 is about the new, faster, everyone connected Internet. HCCA is embracing this approach and offers you a number of ways to build out your network, connect with compliance professionals, and leverage this new technology. Take advantage of these online resources; keep abreast of the latest in compliance news; and stay ahead of the curve. Dozens of discussion groups and more than 6,000 participants http://community.hcca-info.org Profiles of over 3,800 compliance and ethics professionals http://www.hcca-info.org/LinkedIn Follow HCCA_News to keep up with the latest compliance news and events http://twitter.com/HCCA_News To participate in the discussion, review the comments, or just talk with your peers, you can access the Social Network site by going to the following link: www.hcca-info.org/sn n Connect with compliance and ethics professionals on Facebook http://www.hcca-info.org/Facebook Each resource is 100% dedicated to compliance and ethics management. So sign up for whichever one works best for you, or for all four if you’re already living the Web 2.0 life. Health Care Compliance Association • 888-580-8373 • www.hcca-info.org HCCASocialNetworking_halfpage_301nK_CTad.indd 1 December 2010 13 9/2/2010 9:36:00 AM
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Steven Baruch - Health Care Compliance Association

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