System Compliance team provides recap on recent, ongoing initiatives
02/24/22 02:05:pm~ By Colleen Kelly, executive director, Compliance
I am responsible for leading the System Compliance team, which also includes three compliance analysts. We bring depth and breadth of experience to Rogers’ existing ethics and compliance program, as well as other areas including project management, internal audit, risk management, operations, and compliance needs that involve multiple states.
Our team is laser-focused on building key infrastructure, offering compliance program support, and providing legislative review and implementation services for all operational entities at Rogers.
Learn about some of the work completed or underway since the team’s arrival to Rogers last fall.
Compliance implementation process
Launched in early January, this process will help us better track and implement new legislative and regulatory changes across Rogers, in addition to other large-scale compliance projects. We provide a systematic approach to communicating new compliance initiatives, working with affected departments to identify tasks associated with the requirements, and ultimately implementing those requirements across our System. Our System Compliance team is grateful to Rogers’ senior leadership for providing input and feedback regarding the process, as well as continued commitment to the Rogers Compliance program. Please contact me at Colleen.Kelly@rogersbh.org with any questions.
Hospital price transparency rule
One of several federal healthcare consumer protection initiatives, the hospital price transparency rule requires hospitals to make public the costs of certain hospital items and services. As a result, patients have the ability to shop and compare prices across hospitals and estimate costs before receiving care. Rogers’ pricing information is available on www.rogersbh.org under Insurance Pricing Calculator. We appreciate the Revenue Cycle and Health Information Management, Managed Care, Marketing, and Patient Financial Services teams for their contributions and collaboration on this project. For specific questions regarding compliance with the rule, please contact compliance analyst Tracy Smith at Tracy.Smith@rogersbh.org.
No Surprises Act
Another federal healthcare consumer protection initiative, the No Surprises Act, protects patients from receiving surprise medical bills and creates a process to resolve payment disputes between patients and healthcare providers. Requirements for compliance include providing patients with information regarding their rights under the No Surprises Act, as well as a good faith estimate of the cost of care. System Compliance is thankful to be partnering with Utilization Review, Patient Financial Services, and several others to implement the required changes. For specific questions regarding compliance with the No Surprises Act, please contact compliance analyst Lisa Norris at Lisa.Norris@rogersbh.org.
Revised Wisconsin DHS 75 implementation
New requirements take effect on October 1, 2022, affecting all Wisconsin providers certified under Wis. Admin. Code ch. DHS 75. This administrative rule sets the minimum standards for substance use prevention, intervention, and treatment services delivered across a variety of settings and levels of care. With a goal of supporting access to services throughout Wisconsin, the new rule eases requirements for providers in many areas while maintaining safety and quality of care standards.
System Compliance is pleased to be partnering with the Mental Health and Addiction Recovery (MHAR) Value Stream to implement the changes to DHS 75, as well as several other operational and documentation-related enhancements within Rogers’ MHAR programs and services. Please stay tuned for more details on behalf of the MHAR Value Stream team.
