Compliance With Health Care Standards Is Important
The scope and complexity of health care regulation have grown exponentially in recent years. Wading through the sea of federal and state health care regulations can be an overwhelming task. Many health care providers feel they spend more time monitoring and ensuring compliance with these rules than they do on their work.
At , our highly trained attorneys work with health care providers from Dallas, across Texas and nationwide. We guide our clients through the maze of regulations that affect their profession.
We Understand The Stakes Of Compliance Matters
Any health care provider, from hospitals to individual physicians and nurses, must maintain compliance for several reasons, including:
- Retaining billing privileges for insurers and government entities
- Maintaining standards with specific provider authorities
- Adhering to regulations over health care data
These matters are existentially important to your company but can run into many issues, including:
- Centers for Medicare & Medicaid Services (CMS) requirements, including conditions of participation (CoP)
- Texas Medicaid & Healthcare Partnership (TMHP) regulations
- Health Insurance Portability Accountability Act (HIPAA)
- OSHA record-keeping privacy
- Corporate Practice of Medicine doctrine
- FDA compliance programs
- Stark Law
- Anti-kickback regulations
Our office in Dallas, Texas, is at the hub of federal and state health care regulatory matters. Also located in Dallas is the CMS regional office responsible for administering health care programs in Texas, Oklahoma, Louisiana, Arkansas and New Mexico. Austin is the state’s capital, and it is the heart of state government matters affecting state and local health care programs.
Continuous Compliance Changes
Medicare, Medicaid, HMOs, private insurance companies, and licensing agencies constantly conduct compliance audits. To stay prepared and in the best position possible, providers should periodically review their compliance. Additionally, health care regulations change frequently. Providers focus on their profession and may know about the most recent developments.
Our firm can help develop corporate compliance programs and periodic compliance audits to keep your agency from being caught up in the enforcement process. We work with consultants to perform “snapshot” audits which identify provider vulnerabilities, then create and implement corporate compliance programs for health care providers.
Experienced Compliance Services
CMS requires corporate compliance programs for some but not all provider types at this point. As CMS and TMHP make changes in the guidelines, mandatory corporate compliance programs may be just around the corner for many.