Quality of the estimate. December, p. 47 - Health Care Compliance ...

More documents

Recommendations

Info

ROY sNELL December 2011 18 Change HCCA and SCCE have had another great year. We have had significant membership growth—HCCA and SCCE just hit 10,000 members. Our financials look very good and we are building a reserve that will help us weather future challenges. We have made several improvements to our operations. We have updated our phone system with a voiceover IP system that will allow our staff, many of whom travel, to receive their voicemail via email. We are updating our website and our membership database management system. With these changes, members will be able to move easily between our social media, the website, and the membership database. We have updated the magazine and will be providing more information about the compliance profession. We have added new columnists and improved the magazine’s look and feel. The first redesigned issue of HCCA’s Compliance Today will be published this spring. As we’ve grown we have added new staff. We are able to dedicate people to tasks rather than have them be distracted or diluted by several tasks. We are able to have staff specialize in certain areas, allowing them to focus on how to improve their function. For example, we now have an individual dedicated specifically to our website. This staff member is able to spend more time improving the system and studying new trends in website management. We also continue to improve our conferences. We have added conferences, such as the new regional meetings in Houston, Texas and Oakland, California. We have added Academies to meet the growing demand for those interested in certification. We have added new technology to our meetings, such as realtime social media reporting and audience response technology for audience feedback and polling to our Advanced Discussion Group track at the Compliance Institute. During the last Board strategic planning session, the Board focused on social media. We are now one of the leading associations in adopting social media for member networking. In the next Board strategic planning session, the Board will focus on new projects to help compliance professionals deal with the stress associated with their job. And finally, we are very excited to have our first few applicants for our advanced certification—the Certified in Healthcare Compliance Fellowship (CHC-F). Debbie Troklus and her committee have been working on certification for over ten years. They have added a research certification and a privacy certification in recent years and spend a great deal of time making sure our original certifications are updated in a timely manner. HCCA and SCCE now have some of the most highly regarded certifications in the compliance and ethics profession. n If you have any questions that you would like Roy to answer in future columns, please e-mail them to: roy. snell@hcca-info.org. 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 Second Vice President of the HCCA Board of Directors. John may be contacted by e-mail at jfalcetano@uhseast.com. Zone Program Integrity Contractor (ZPIC) One of the best benefits of our social network site is the ability for members to discuss a wide range of compliance topics. One topic currently being discussed is the Zone Program Integrity Contractor (ZPIC). As many of you are aware, the Program Safeguard Contractor (PSC) transitioned to ZPIC. ZPICs do a lot of data analysis and evaluate complaints. They also make referrals to law enforcement. ZPICs may also support law enforcement during an investigation. Some of the questions asked as part of the online discussion include: n How much time do the ZPICs have before they respond to a claim on audit n Is anyone using a data analysis software product to do proactive data mining in preparation for ZPICs Get Connected. Subscribe to dozens of discussion groups, download hundreds of resources, and connect with thousands of compliance professionals on HCCAnet http://community.hcca-info.org Start a discussion in the HCCA LinkedIn group http://www.hcca-info.org/LinkedIn Follow @hcca_news for the latest trends in health care compliance http://www.twitter.com/hcca_news For the answers to these questions and others, go to the HCCA Social Network site. Remember social networking is a great way to make friends, obtain needed compliance documents, or just talk with peers. Visit our network and start a blog or join a discussion group. You will be glad you did. To participate in the discussion, review the comments, or just talk with your peers, you can access the HCCA Social Network site by going to the following link: www.hccainfo.org/hccanet n Get the latest compliance news and HCCA event information in your facebook news feed. “Like” that HCCA facebook page at http://www.hcca-info.org/Facebook December 2011 19 HCCASocialNetworking_halfpage_301nK_CTad.indd 1 8/31/2011 10:05:0 Health Care Compliance Association • 888-580-8373 • www.hcca-info.org
Page 1 and 2: Volume Thirteen Number Twelve Decem
Page 3 and 4: INSIDE 5 The rising tide: Recognizi
Page 5 and 6: The rising tide: Recognizing your c
Page 7 and 8: Legal function of any consulting ar
Page 9 and 10: side and show that proper actions w
Page 11 and 12: If you disagree with the requested
Page 13 and 14: n Starting from Scratch o I just re
Page 15 and 16: CFO was particularly timely in ligh
Page 17: territory in the early years. The m
Page 21 and 22: y the federal and state agencies th
Page 23 and 24: People on the Move Former Medicaid
Page 25 and 26: may find themselves in a netherworl
Page 27 and 28: Losing sleep over health care marke
Page 29 and 30: Editor’s note: Jeffrey N. Joyce i
Page 31 and 32: The first domain for establishing r
Page 33 and 34: for research services provided by p
Page 35 and 36: Community Relations. A process to r
Page 37 and 38: With the implementation of the EMR
Page 39 and 40: showed that the company viewed its
Page 41 and 42: Healthcare facilities that are seri
Page 43 and 44: CCB The Compliance Professional’s
Page 45 and 46: Legislators viewed the Medicare RAC
Page 47 and 48: Confidence and precision in claims
Page 49 and 50: universe is no less than $9,650. No
Page 51 and 52: Accountability is the key to compli
Page 53 and 54: Accountability is the key to compli
Page 55 and 56: Regulatory compliance for research
Page 57 and 58: Occupational Fraud and Abuse, it is
Page 59 and 60: offenses, including modification of
Page 61 and 62: n Control environment The control e
Page 63 and 64: organization is complying with regu
Page 65 and 66: Publisher: Health Care Compliance A
Page 67 and 68: esearch Compliance Conference June
Page 69 and 70:
eimbursement and the growing separa
Page 71 and 72:
even a decrease in physician paymen
Page 73 and 74:
New HCCA Members Alabama n Patricia
Page 75 and 76:
What could you do with The Power of
show all

Quality of the estimate. December, p. 47 - Health Care Compliance ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?