Compliance

As your existing technology system ages or your business needs change, your technology may no longer provide the capabilities required to support your objectives. Our knowledgeable healthcare technology professionals can help you select, implement, and optimize new or current clinical information systems to support your business strategy and help you achieve your goals.

Healthcare organizations are constantly facing new compliance risks and are challenged to keep up with the complicated and ever-changing healthcare regulatory environment. Today, now more than ever, it is vitally important that healthcare organizations maintain an effective compliance program.

Healthcare organizations are constantly facing new compliance risks and are challenged to keep up with the complicated and ever-changing healthcare regulatory environment. Today, now more than ever, it is vitally important that healthcare organizations maintain an effective compliance program.

Cybercrime, while impacting other industries over the past 20 years, has now attacked healthcare in a big way. Daily, we read about security breaches in small-, medium-, and large-scale healthcare organizations that often affect hundreds, thousands, or even millions of people and their private information.

Physician and advanced practice provider compensation arrangements are continually progressing in healthcare, as compensation must be competitive with the market and in compliance with the established regulations in the industry. Compensation arrangements are not immune to the emerging developments in healthcare and must meet the standards for fair market value (FMV) and commercial reasonableness (CR).

Many health systems that have spent years building a critical mass of providers now find themselves in a reactive position to physician’s needs. The result may be that the physicians are not adequately integrated into the organization, lacking a unified voice.

An essential element of every healthcare organization’s compliance work plan is the performance of ongoing provider coding and documentation audits. Coding and documentation audits are appropriate for all providers, especially highly productive providers who may find themselves under scrutiny for their billings by area-Medicare administrative contractors and other payers.

Healthcare organizations, senior executives, and governing body members are under increasing scrutiny to ensure they have an effective compliance program. The Federal Sentencing Guidelines for Organizations recommends that all organizations have a comprehensive compliance program in place.

Hospitals, health systems, and physician groups are challenged to keep up with the complicated and ever-changing healthcare regulatory environment. At Coker, we have the compliance solution best suited for your organization to respond to the challenge.

Hospital and physician practice transactions continue as a key growth strategy for healthcare services organizations to extend their footprint for access to care and expand market share competition. With executing mergers, acquisitions, or any other type of transactions involving healthcare entities, due diligent is one of the most critical pieces of a deal process and the likelihood for achieving long-term success.

HIPAA compliance is ever-evolving and, although it may seem complicated, your organization is responsible for the protection and security of Patient Health Information (PHI) and Electronic Patient Health Information (ePHI)—even when it’s in the hands of others.

The Health Insurance Portability and Accountability Act (HIPAA) security rule requires that covered entities conduct an accurate and thorough assessment of risks and vulnerabilities to the confidentiality, integrity, and availability of electronic patient health information (ePHI).

At Coker, we provide consultative assistance related to MACRA/MIPS Implementation to achieve five primary objectives: organizational development, program management, data management, clinician engagement, and auditing and validation.