Tanya L. Thomas
Western Governors University
In this paper I will define compliance from a management perspective. I will address problems with compliance as it relates to healthcare. I will analyze specific problem with healthcare compliance. I will give scenarios of what circumstances can come from non-compliance. I will outline a prevention plan and discuss how to stay compliant. I will discuss the changes that are necessary to stay compliant. I will explain the growth in leadership in the HIM department that will mentor compliance behavior as to mitigate legal risk. I will develop a simple plan, with proper detail to teach the clinical staff ways to improve clinical documentation.
Compliance, A state of being in accordance with established guidelines, specifications, or legislation or the process of becoming so. Compliance in healthcare is put in place to assure that the business at hand is handled in the most ethical fashion in accordance with the Office of The Inspector General or OIG. Compliance is a must because of severity of penalties established by the Balanced Budget Act of 1997 and Health Insurance Portability and Accountability Act (HIPAA) of 1996. Health Information Management professionals are put in place to assure that compliance and ethics are upheld under the code of ethics by the placed professional
In the “Compliance Management Scenario” there are several issues that need to be addressed. Many of the compliance issue revolve around Personal Health Information or PHI. The first of several issues are that the PHI is being left on a voicemail without the consent to do so. Secondly, the PHI was left on the wrong voicemail, and last, the clinic has more than one patient with the same name with no special identifying markers as to which patient is which. PHI should never be sent via fax unless it is a matter of life or death without a release. PHI should never be left...