Healthcare compliance is highly regulated and constantly changing. While certain rules and regulations are a constant, such as HIPAA, the nuances of the laws change. The evolution of technology adds an increasing layer of complexity to data privacy and security issues. Working in healthcare and staying abreast of the top compliance issues is critical for a successful career.
If you’re a professional who wants a career with plenty of upward mobility, Seattle University offers an online MLS program in compliance and risk management where students can enroll in the healthcare compliance concentration. The healthcare compliance program gives students the tools to apply compliance with a conscience and become leaders in healthcare organizations.
Let’s dive into the top issues that healthcare compliance professionals must be aware of in 2023.
1. Data Security
Healthcare data is sensitive and important information that must be protected. Today, medical files are stored electronically. A breach of the software containing electronic health information could be disastrous. Organizations and healthcare practices must have secure, up-to-date software that is compliant and safeguards sensitive personal information.
When it comes to data security, ransomware is its biggest threat. Ransomware is dangerous software — similar to a virus or getting hacked. It blocks access to software until, typically a financial ransom is paid. It has become one of the most common threats to healthcare data today. Ransomware is a large reason why data security is so important to keeping electronic health records safe
3. Due Diligence Processes
Due diligence ensures that healthcare organizations and providers are compliant and current in their security measures. The due-diligence process often includes everything from reviewing the existing compliance infrastructure to the contracts and vendor agreements. It may also include high-risk assessments and makes sure that no conflict of interest exists. Compliance officers ensure that everything within the organization or the practice is protected, helping prevent fraud and abuse.
4. Value-Based Compensation Arrangements
Fee-for-service has been the traditional compensation model used in healthcare practices. In this model, providers complete a service for their patient, and thereby get paid. This creates pressure to complete and bill for as many services as possible to generate revenue, and thus the focus shifts away from the pure well-being of the patient.
In value-based compensation arrangements, financial incentive shifts to the value of the care provided back to a patient-centered focus — quality over quantity. Chief compliance officers have the high-risk, high-reward job of determining these arrangements.
While telehealth has been around for some time, the COVID-19 pandemic made it much more prevalent. Today, many doctor appointments are in person, but telehealth solutions are still present. Telehealth presents a new slew of compliance issues involving licensing, operations, and qualifications.
Careers That Combat Compliance Issues
There are many career options for those looking to go into healthcare compliance. Working for a hospital or a practice is a common and well-known path. You can also work in enforcement. Health and Human Services, the Department of Health, or the Officer of the Inspector General present a few options.
Consider Seattle U’s Online MSL Program
Healthcare compliance is one of the largest and fastest-growing sectors of our economy. If you want to be at the intersection of technology and healthcare, consider getting your MLS from Seattle University School of Law. We offer a valuable degree for individuals looking to advance in their careers. While our program prepares you to lead compliance efforts in any organization, regardless of industry, taking on a concentration gives you a competitive edge when it comes to your career.
Our master’s program is fully online, meeting your schedule without having to relocate. For working professionals or those with other prior obligations, the flexibility removes that barrier to continuing your education. Our faculty is composed of experienced legal educators and adjunct faculty drawn from Seattle’s leading businesses, preparing our students to become leaders themselves.
Interested in enhancing your career? Contact our admissions office today to get started.