The Pulse: Protiviti's Healthcare Industry Updates

The Pulse: Protiviti's Healthcare Industry Updates

The Pulse: Protiviti's Healthcare Industry Updates

No Surprises Act Implications and Considerations and the TJC's New Standards for Compliance

 

Welcome to Protiviti's 2022 Q2 issue of the newsletter The Pulse, where we share a roundup of our most recently released healthcare thought leadership, past and upcoming events, key industry news, and much more.

As we begin to see a gradual opening up of healthcare conferences and in-person events, we hope this compilation of healthcare highlights will help you stay up-to-date on the key issues healthcare organizations need to know. We also hope to see you in person at upcoming conferences, including the AHA Leadership Summit and the 41st AHIA Conference. Thank you for subscribing!

SOLUTION SPOTLIGHT

The Joint Commission (TJC) | New Standards to Assess Compliance 

The Joint Commission (TJC) recently released new standards for key areas such as business continuity, environment of care, performance improvement, transplant services, infection control, patient safety and sentinel events. Organizations face a potential requirement for improvement (RFI) for any noncompliance with these standards, which will have to be addressed within 30-90 days. The TJC will also return on-site to validate compliance. 

Protiviti's healthcare professionals advise organizations on rapidly evolving requirements with a focus on improving patient and employee safety. Protiviti’s proprietary tool, the Defender, centralizes all TJC and related regulatory requirements, automates the audit process, automatically generates corrective action plans with integrated root cause analysis, and produces robust dashboards.
 

Learn More

 

INSIGHTS

Blog | No Surprises Act Requirements Continue to Be a Heavy Lift — Here’s How Healthcare Providers and Facilities Can Remain Diligent

The aptly named No Surprises Act (NSA), signed into law in December 2020 with an implementation deadline of January 1, 2022, is meant to help protect patients from financial hardship due to surprise medical bills. Such bills are often the result of patients receiving emergency or nonemergency services from providers that don’t participate in their health plan’s network. Patients become aware of an issue only when they’re hit with a hefty bill for those services, which their health plan won’t cover.

 

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Publication | Telehealth 2.0: Understanding and Auditing Remote Patient Monitoring and Acute Care Hospital-at-Home Functions

Kim Pardini-Kiely and Bryan Beaudoin recently published a whitepaper in AHIA's New Perspectives magazine that illustrates how remote patient monitoring (RPM) and acute care hospital-at-home (HaH) programs have become an innovative way for healthcare providers to manage chronic illness, promote healthy behaviors and deliver care effectively in the home. These services are shown to improve outcomes, reduce expenses and increase patient satisfaction. This new care delivery model is also more convenient and has increased access for many people.

 

Read More


Survey | Protiviti and AHIA 2022 Internal Audit Priorities 

Protiviti has partnered with AHIA to conduct the annual Internal Audit Priorities Survey for 2022. Conducted annually, this survey provides benchmarks by which internal auditors can measure their knowledge and skills, identify gaps to be addressed in order to improve their performance and add value to their organizations aligned with the internal audit profession.

Protiviti will be releasing the results at the 41st Annual AHIA Conference August 28 -31 in Miami.
 

Register Here | 41st AHIA Conference


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WEBINARS 

Fraud, Waste and Abuse | Webinar Series

During the public health emergency (PHE), the government took aggressive actions and exercised regulatory flexibilities (waivers) to help healthcare providers contain the spread of COVID-19. With these waivers came relaxation in certain audit, investigative and enforcement activities.

Presenters Include: Bryan Beaudoin; Fernando Alvarez; Dennis Toomey; Julia Russell; Priyanka Dave

 

On Demand Webinars:

March 3

March 23

April 20

 

Watch Here

 

AHIA & Protiviti's 2022 Healthcare Top Risks | Webinar 

Richard Williams, Matt Jackson, Jarod Baccus and Alex Robison of Protiviti partnered with AHIA to deliver a webinar on the 2022 Healthcare Industry Executives Perspectives on Top Risks. During the webinar, the presenters covered the top risks facing the healthcare industry that came out of our joint survey with North Carolina State’s Enterprise Risk Management Initiative. These are viable considerations that healthcare executives should include in their planning and operations for the coming year and into 2023.

 

Available On Demand

 

Watch Here

 

 

EVENTS

2022 AHA Leadership Summit | San Diego, CA

July 17-19 | Manchester Grand Hyatt

Protiviti is a sponsor and exhibitor at the 2022 American Hospital Association (AHA) Leadership Summit July 17-19, 2022. 
Please stop by Booth # 707 and enter our raffle!

 

AHA Leadership Summit Registration


AHIA and Protiviti Chief Auditor Executive Roundtable | Nashville, TN 

August 5 | Protiviti Nashville

Protiviti and AHIA co-host a CAE Roundtable next month in Nashville. 
The roundtable will be presented by Rebecca Nilson and Todd Havens. If you are in the Nashville area on August 5, are a current AHIA member and would like to request an invite, please email Kajal Sachania.


41st AHIA Annual Conference | Miami, FL

August 28-31, 2022 | Intercontinental Miami

We'll be at the 2022 AHIA Annual Conference at Booth #8. Please stop by and enter our raffle!
Many sessions during the three-day conference will be presented by our team, including:

 

41st AHIA Conference Registration

 

Enterprise Risk Management and Design Thinking: An Engaging and Innovative Approach 
Rebecca Nilson, Darrell Sandeen, Kim Pardini-Kiely
On the Level-Assessing hospital emergency services facility leveling for reduced payer denials
Caroline Znaniec
Tactics to Audit for Effective and Compliant Hierarchical Condition Categories (HCC) Capture
Bryan Beaudoin
Post Pandemic World: Payer Vulnerabilities Driving Fraud, Waste and Abuse (FWA) in 2022
Fernando Alvarez
2022 Healthcare Internal Audit Plan Priorities 
Richard Williams, Alex RobisonJarod Baccus
Diversity Audits 
Kimberly Lanier, Susan Haseley
IT Internal Audit & The Big Screen-The Sequel 
Terry R. Corcoran
What's Your Status? Getting to know the Inpatient-Only List 
Caroline Znaniec
Next Generation Internal Auditing and Analytics
Landon Adkins, Jarod Baccus
Open Source Code Development 
Terry R. Corcoran 

2022 HFMA Annual Conference | Thank you for stopping by!

June 26-30 | Denver

Protiviti recently sponsored and exhibited at the 2022 HFMA Annual Conference in Denver. Thank you for stopping by our booth - we hope to see you in Nashville in 2023!

 

HEALTHCARE RESOURCES OF EXCELLENCE

  • Clinical Excellence
  • Digital & Advanced Analytics
  • Enterprise Applications/ERP Modernization
  • Financial & Operational Performance
  • Information Technology & Cybersecurity
  • Innovation Services
  • Mergers & Acquisitions
  • Next-Gen Internal Audit
  • Pandemic Response
  • Healthcare Payer Solutions
  • Revenue Integrity
  • Risk & Compliance
 

Learn More About Protiviti Healthcare

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