SlideShare a Scribd company logo
Compliance for the way we
      care for clients now
MayHAC’s Medicare/ Medicare Provi

                    Presented by
                         Shereese
                     Maynard, MS
                          CEO/Sr.
                         Advisor :
                       Consultant
           Anthony M. Tucker, CFO
Overview
 1   About MayHAC

 2   Program Objectives

 3   Descriptions

 4   Results and measurement tools

 5   Your Future
MayHAC has designed a
Program   comprehensive program with
          the goal being to educate the
          provider, streamline
          operations, guarantee
          compliance, and ensure
          continued growth. This is
          accomplished with:
          1. Risk Analysis
          2. Plan of Action
          3. Policy Upgrades
          4. Integration of a
              compliance program
          5. Training for staff
          6. Ongoing support
Risk Analysis:

Definition                      MayHAC’s Analysis Tool
 A risk analysis is a tool      State approved
  used to uncover clinical       Includes clinical,
  vulnerabilities or identify     administrative, & financial
  agency practices which         Completely confidential
  would more than likely
  lead to quality assurance      Less expensive than
  issues or recovery monies       comparable companies
  being sought by regulating     Satisfies HHS HIPAA
  bodies.                         requirement for covered
                                  entities.
MayHAC’s consultant will draft
                                    Plan of Action
a complete plan of action which
addresses all areas of
vulnerabilities. The plan of
action mirrors the plan of
correction usually required from
regulating bodies once
deficiencies have been cited. The
plan of action is discussed with
the administrator and once
agreed upon, implementation of
the plan begins.
Policy Upgrades and Integration
Most providers admit      Once policies have
 to not updating            been drafted,
 policies as often as       MayHAC’s staff will
 they should. MayHAC        help the provider
 will update all deficient  implement new
 policies to ensure         standards. We act as
 compliance with            a change agent
 current standards to       without affecting the
 include clinical and       morale of your staff.
 administrative goals.
Training
We train everyone.                  ONGOING SUPPORT
                                    MayHAC isn’t successful unless
There’s no need to wonder
                                    our clients are successful. To
if your staff will be able to
                                    ensure your continued
keep up with new standards;
                                    compliance and growth, we
MayHAC keeps it simple.
                                    offer on-going support to
We cover all the basics to
                                    include:
include :
                                    •Phone consult
•Physician Orders                   •State audit prep
•Care plans                         •Fax on demand
•Supervisory visits                 •Drop in Training
•Administrative functions
•HIPAA




                                7                         LOGO
Thank You

More Related Content

What's hot

Corporate Health & Wellness Program
Corporate Health & Wellness ProgramCorporate Health & Wellness Program
Corporate Health & Wellness Program
Stacey Abrams
 
Z 3f 3 - the quality principles
Z 3f   3 - the quality principlesZ 3f   3 - the quality principles
Z 3f 3 - the quality principles
Rajeswaran Muthu Venkatachalam
 
WHS Gap Analysis
WHS Gap AnalysisWHS Gap Analysis
WHS Gap Analysis
melsafe80
 
Adam Grant Resume
Adam Grant Resume Adam Grant Resume
Adam Grant Resume
Adam Grant
 
Hugo Smith, CTO at Broadbandchoices - Improving the Agility of your Business ...
Hugo Smith, CTO at Broadbandchoices - Improving the Agility of your Business ...Hugo Smith, CTO at Broadbandchoices - Improving the Agility of your Business ...
Hugo Smith, CTO at Broadbandchoices - Improving the Agility of your Business ...
Global Business Events
 
Regulatory Sciences Capabilities
Regulatory Sciences CapabilitiesRegulatory Sciences Capabilities
Regulatory Sciences Capabilities
Bruce Copeland
 
Ten Tips to Starting a Wellness Program
Ten Tips to Starting a Wellness ProgramTen Tips to Starting a Wellness Program
Ten Tips to Starting a Wellness Program
afrandolph
 
Phc 5 slide deck
Phc   5 slide deckPhc   5 slide deck
DMF Systems Introduction
DMF Systems IntroductionDMF Systems Introduction
DMF Systems Introduction
DMF-Systems
 
MU3- Through Nalashaa’s lenses
MU3- Through Nalashaa’s lensesMU3- Through Nalashaa’s lenses
MU3- Through Nalashaa’s lenses
Nalashaa Healthcare Solutions
 
Safety Performance Outcomes
Safety Performance OutcomesSafety Performance Outcomes
Safety Performance Outcomes
wallstreet1
 
Insurance Innovation Award - Optum
Insurance Innovation Award - OptumInsurance Innovation Award - Optum
Insurance Innovation Award - Optum
The Digital Insurer
 
Home Care Compliance Program Presentation (sound embed)
Home Care Compliance Program Presentation (sound embed)Home Care Compliance Program Presentation (sound embed)
Home Care Compliance Program Presentation (sound embed)
wedas4jc
 
Increase Your Profits through an Effective Safety Culture
Increase Your Profits through an Effective Safety CultureIncrease Your Profits through an Effective Safety Culture
Increase Your Profits through an Effective Safety Culture
KPADealerWebinars
 
Cultivate One Touch Claim Resolution with a Robust Quality and Training Program
Cultivate One Touch Claim Resolution with a Robust Quality and Training ProgramCultivate One Touch Claim Resolution with a Robust Quality and Training Program
Cultivate One Touch Claim Resolution with a Robust Quality and Training Program
Healthcare Resource Group Inc.
 
Grow Your Business Through Medication Adherence
Grow Your Business Through Medication AdherenceGrow Your Business Through Medication Adherence
Grow Your Business Through Medication Adherence
Parata Systems
 
CAMMS Health
CAMMS HealthCAMMS Health
CAMMS Health
Matthew Goodman
 
CAMMS Health AUS flyer
CAMMS Health AUS flyerCAMMS Health AUS flyer
CAMMS Health AUS flyer
Roz Storino
 
United Health Services maximizes impact in CMS quality programs
United Health Services maximizes impact in CMS quality programs United Health Services maximizes impact in CMS quality programs
United Health Services maximizes impact in CMS quality programs
Luke Van Engen
 
Why Do I Need Managed Services
Why Do I Need Managed ServicesWhy Do I Need Managed Services
Why Do I Need Managed Services
GeekTek IT Services
 

What's hot (20)

Corporate Health & Wellness Program
Corporate Health & Wellness ProgramCorporate Health & Wellness Program
Corporate Health & Wellness Program
 
Z 3f 3 - the quality principles
Z 3f   3 - the quality principlesZ 3f   3 - the quality principles
Z 3f 3 - the quality principles
 
WHS Gap Analysis
WHS Gap AnalysisWHS Gap Analysis
WHS Gap Analysis
 
Adam Grant Resume
Adam Grant Resume Adam Grant Resume
Adam Grant Resume
 
Hugo Smith, CTO at Broadbandchoices - Improving the Agility of your Business ...
Hugo Smith, CTO at Broadbandchoices - Improving the Agility of your Business ...Hugo Smith, CTO at Broadbandchoices - Improving the Agility of your Business ...
Hugo Smith, CTO at Broadbandchoices - Improving the Agility of your Business ...
 
Regulatory Sciences Capabilities
Regulatory Sciences CapabilitiesRegulatory Sciences Capabilities
Regulatory Sciences Capabilities
 
Ten Tips to Starting a Wellness Program
Ten Tips to Starting a Wellness ProgramTen Tips to Starting a Wellness Program
Ten Tips to Starting a Wellness Program
 
Phc 5 slide deck
Phc   5 slide deckPhc   5 slide deck
Phc 5 slide deck
 
DMF Systems Introduction
DMF Systems IntroductionDMF Systems Introduction
DMF Systems Introduction
 
MU3- Through Nalashaa’s lenses
MU3- Through Nalashaa’s lensesMU3- Through Nalashaa’s lenses
MU3- Through Nalashaa’s lenses
 
Safety Performance Outcomes
Safety Performance OutcomesSafety Performance Outcomes
Safety Performance Outcomes
 
Insurance Innovation Award - Optum
Insurance Innovation Award - OptumInsurance Innovation Award - Optum
Insurance Innovation Award - Optum
 
Home Care Compliance Program Presentation (sound embed)
Home Care Compliance Program Presentation (sound embed)Home Care Compliance Program Presentation (sound embed)
Home Care Compliance Program Presentation (sound embed)
 
Increase Your Profits through an Effective Safety Culture
Increase Your Profits through an Effective Safety CultureIncrease Your Profits through an Effective Safety Culture
Increase Your Profits through an Effective Safety Culture
 
Cultivate One Touch Claim Resolution with a Robust Quality and Training Program
Cultivate One Touch Claim Resolution with a Robust Quality and Training ProgramCultivate One Touch Claim Resolution with a Robust Quality and Training Program
Cultivate One Touch Claim Resolution with a Robust Quality and Training Program
 
Grow Your Business Through Medication Adherence
Grow Your Business Through Medication AdherenceGrow Your Business Through Medication Adherence
Grow Your Business Through Medication Adherence
 
CAMMS Health
CAMMS HealthCAMMS Health
CAMMS Health
 
CAMMS Health AUS flyer
CAMMS Health AUS flyerCAMMS Health AUS flyer
CAMMS Health AUS flyer
 
United Health Services maximizes impact in CMS quality programs
United Health Services maximizes impact in CMS quality programs United Health Services maximizes impact in CMS quality programs
United Health Services maximizes impact in CMS quality programs
 
Why Do I Need Managed Services
Why Do I Need Managed ServicesWhy Do I Need Managed Services
Why Do I Need Managed Services
 

Similar to Provider Compliance

Chapman Institute - WellCert Overview
Chapman Institute - WellCert OverviewChapman Institute - WellCert Overview
Chapman Institute - WellCert Overview
Larry Chapman
 
Webinar: Integrating Physician Practices into Your Network
Webinar: Integrating Physician Practices into Your NetworkWebinar: Integrating Physician Practices into Your Network
Webinar: Integrating Physician Practices into Your Network
Modern Healthcare
 
7 Features of Highly Effective Outcomes Improvement Projects
7 Features of Highly Effective Outcomes Improvement Projects7 Features of Highly Effective Outcomes Improvement Projects
7 Features of Highly Effective Outcomes Improvement Projects
Health Catalyst
 
Hct General Overview
Hct General OverviewHct General Overview
Hct General Overview
bbuckley8
 
CONTROLLING PPT.pptx
CONTROLLING PPT.pptxCONTROLLING PPT.pptx
CONTROLLING PPT.pptx
beminaja
 
Effective Talent Management Strategy: Assessing Needs and Aspirations
Effective Talent Management Strategy: Assessing Needs and AspirationsEffective Talent Management Strategy: Assessing Needs and Aspirations
Effective Talent Management Strategy: Assessing Needs and Aspirations
Wowledge
 
QUALITY ASSURANCE.pptx
QUALITY ASSURANCE.pptxQUALITY ASSURANCE.pptx
QUALITY ASSURANCE.pptx
JusticeYegon1
 
HRM- Unit 8 & 9.pptx
HRM- Unit 8 & 9.pptxHRM- Unit 8 & 9.pptx
HRM- Unit 8 & 9.pptx
SandeshHambir1
 
Steps to building_a_telehealth_program
Steps to building_a_telehealth_programSteps to building_a_telehealth_program
Steps to building_a_telehealth_program
TrustRobin
 
The Top Five Insights into Healthcare Operational Outcomes Improvement
The Top Five Insights into Healthcare Operational Outcomes ImprovementThe Top Five Insights into Healthcare Operational Outcomes Improvement
The Top Five Insights into Healthcare Operational Outcomes Improvement
Health Catalyst
 
Pyramid Healthcare Brochure
Pyramid Healthcare BrochurePyramid Healthcare Brochure
Pyramid Healthcare Brochure
Sherif Farghal
 
Controlling and evaluation mechanism
Controlling and evaluation mechanismControlling and evaluation mechanism
Controlling and evaluation mechanism
xtrm nurse
 
Driving health plan member engagement at healthx 022515 presentation to healt...
Driving health plan member engagement at healthx 022515 presentation to healt...Driving health plan member engagement at healthx 022515 presentation to healt...
Driving health plan member engagement at healthx 022515 presentation to healt...
Frank Hone
 
Prepare Communication PlanRegular communication with all st.docx
Prepare  Communication PlanRegular communication with all st.docxPrepare  Communication PlanRegular communication with all st.docx
Prepare Communication PlanRegular communication with all st.docx
harrisonhoward80223
 
Essential Components of an Effective HIPAA Safeguard Program
Essential Components of an Effective HIPAA Safeguard ProgramEssential Components of an Effective HIPAA Safeguard Program
Essential Components of an Effective HIPAA Safeguard Program
Colington Consulting
 
Key learning slides
Key learning slidesKey learning slides
Key learning slides
praash0806
 
Route to success - sustain
Route to success - sustainRoute to success - sustain
Route to success - sustain
NHS IQ legacy organisations
 
How to create a change management plan
How to create a change management planHow to create a change management plan
How to create a change management plan
Business Resource Integration
 
27665965 performance-management
27665965 performance-management27665965 performance-management
27665965 performance-management
Mayukh Nandi
 
27665965 performance-management
27665965 performance-management27665965 performance-management
27665965 performance-management
Konkana De
 

Similar to Provider Compliance (20)

Chapman Institute - WellCert Overview
Chapman Institute - WellCert OverviewChapman Institute - WellCert Overview
Chapman Institute - WellCert Overview
 
Webinar: Integrating Physician Practices into Your Network
Webinar: Integrating Physician Practices into Your NetworkWebinar: Integrating Physician Practices into Your Network
Webinar: Integrating Physician Practices into Your Network
 
7 Features of Highly Effective Outcomes Improvement Projects
7 Features of Highly Effective Outcomes Improvement Projects7 Features of Highly Effective Outcomes Improvement Projects
7 Features of Highly Effective Outcomes Improvement Projects
 
Hct General Overview
Hct General OverviewHct General Overview
Hct General Overview
 
CONTROLLING PPT.pptx
CONTROLLING PPT.pptxCONTROLLING PPT.pptx
CONTROLLING PPT.pptx
 
Effective Talent Management Strategy: Assessing Needs and Aspirations
Effective Talent Management Strategy: Assessing Needs and AspirationsEffective Talent Management Strategy: Assessing Needs and Aspirations
Effective Talent Management Strategy: Assessing Needs and Aspirations
 
QUALITY ASSURANCE.pptx
QUALITY ASSURANCE.pptxQUALITY ASSURANCE.pptx
QUALITY ASSURANCE.pptx
 
HRM- Unit 8 & 9.pptx
HRM- Unit 8 & 9.pptxHRM- Unit 8 & 9.pptx
HRM- Unit 8 & 9.pptx
 
Steps to building_a_telehealth_program
Steps to building_a_telehealth_programSteps to building_a_telehealth_program
Steps to building_a_telehealth_program
 
The Top Five Insights into Healthcare Operational Outcomes Improvement
The Top Five Insights into Healthcare Operational Outcomes ImprovementThe Top Five Insights into Healthcare Operational Outcomes Improvement
The Top Five Insights into Healthcare Operational Outcomes Improvement
 
Pyramid Healthcare Brochure
Pyramid Healthcare BrochurePyramid Healthcare Brochure
Pyramid Healthcare Brochure
 
Controlling and evaluation mechanism
Controlling and evaluation mechanismControlling and evaluation mechanism
Controlling and evaluation mechanism
 
Driving health plan member engagement at healthx 022515 presentation to healt...
Driving health plan member engagement at healthx 022515 presentation to healt...Driving health plan member engagement at healthx 022515 presentation to healt...
Driving health plan member engagement at healthx 022515 presentation to healt...
 
Prepare Communication PlanRegular communication with all st.docx
Prepare  Communication PlanRegular communication with all st.docxPrepare  Communication PlanRegular communication with all st.docx
Prepare Communication PlanRegular communication with all st.docx
 
Essential Components of an Effective HIPAA Safeguard Program
Essential Components of an Effective HIPAA Safeguard ProgramEssential Components of an Effective HIPAA Safeguard Program
Essential Components of an Effective HIPAA Safeguard Program
 
Key learning slides
Key learning slidesKey learning slides
Key learning slides
 
Route to success - sustain
Route to success - sustainRoute to success - sustain
Route to success - sustain
 
How to create a change management plan
How to create a change management planHow to create a change management plan
How to create a change management plan
 
27665965 performance-management
27665965 performance-management27665965 performance-management
27665965 performance-management
 
27665965 performance-management
27665965 performance-management27665965 performance-management
27665965 performance-management
 

Provider Compliance

  • 1. Compliance for the way we care for clients now MayHAC’s Medicare/ Medicare Provi Presented by Shereese Maynard, MS CEO/Sr. Advisor : Consultant Anthony M. Tucker, CFO
  • 2. Overview 1 About MayHAC 2 Program Objectives 3 Descriptions 4 Results and measurement tools 5 Your Future
  • 3. MayHAC has designed a Program comprehensive program with the goal being to educate the provider, streamline operations, guarantee compliance, and ensure continued growth. This is accomplished with: 1. Risk Analysis 2. Plan of Action 3. Policy Upgrades 4. Integration of a compliance program 5. Training for staff 6. Ongoing support
  • 4. Risk Analysis: Definition MayHAC’s Analysis Tool  A risk analysis is a tool  State approved used to uncover clinical  Includes clinical, vulnerabilities or identify administrative, & financial agency practices which  Completely confidential would more than likely lead to quality assurance  Less expensive than issues or recovery monies comparable companies being sought by regulating  Satisfies HHS HIPAA bodies. requirement for covered entities.
  • 5. MayHAC’s consultant will draft Plan of Action a complete plan of action which addresses all areas of vulnerabilities. The plan of action mirrors the plan of correction usually required from regulating bodies once deficiencies have been cited. The plan of action is discussed with the administrator and once agreed upon, implementation of the plan begins.
  • 6. Policy Upgrades and Integration Most providers admit Once policies have to not updating been drafted, policies as often as MayHAC’s staff will they should. MayHAC help the provider will update all deficient implement new policies to ensure standards. We act as compliance with a change agent current standards to without affecting the include clinical and morale of your staff. administrative goals.
  • 7. Training We train everyone. ONGOING SUPPORT MayHAC isn’t successful unless There’s no need to wonder our clients are successful. To if your staff will be able to ensure your continued keep up with new standards; compliance and growth, we MayHAC keeps it simple. offer on-going support to We cover all the basics to include: include : •Phone consult •Physician Orders •State audit prep •Care plans •Fax on demand •Supervisory visits •Drop in Training •Administrative functions •HIPAA 7 LOGO

Editor's Notes

  1. \n
  2. \n
  3. \n
  4. \n
  5. \n
  6. \n
  7. \n
  8. \n