Services Provided by the Office of Regulatory Affairs & Compliance

• Provide guidance and interpretation of institutional, state and federal policies, regulations and procedures.
• Assist and/or facilitate discussions to revise and/or develop new institutional polices and procedures from external regulatory authorities.
• Review and critique specialized compliance training programs.
• Coordinate updates and changes to the Handbook of Operating Procedures.
• Review and investigate any complaints or concerns reported to the Office of Regulatory Affairs & Compliance hotline or through other mechanisms.
• Answer questions and concerns of employees, patients, vendors, affiliated hospitals and other interested parties on various compliance areas.

CLINICAL BILLING

• Review clinical billing for medical, dental and health profession services.
• Consult with departments on ways to enhance clinical revenue and documentation.
• Provide analysis of billings to the national averages.
• Provide guidance and interpretation of clinical billing regulations.
• Assist in the development of specialized clinical training.
• Provide special training sessions based on requests or need.

CLINICAL RESEARCH

• Complete reviews of clinical/human participant research and provide feedback on how to enhance procedures and record keeping.
• Provide special training sessions based on requests.

HIPAA PRIVACY

• Review clinic and departmental operations for compliance with HIPAA privacy regulations, policies and procedures.
• Provide assistance to patients on their privacy rights.
• Investigate patient complaints.
• Investigate breaches of health information and provide notifications to patients.
• Provide special training sessions based on request.