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San Diego healthcare compliance programs lawyers

Within the world of healthcare, compliance is an important component. Viewed as “preventive medicine,” its purpose is to identify small problems before they become big ones, enabling an organization or practice to correct deficiencies before they are discovered by auditors. Rather than waiting until problems start to get out of control and regulatory agencies begin to impose penalties and possibly fines, it’s best to hire the services of a healthcare compliance programs lawyer. By doing so, you can be proactive in correcting deficiencies and ensuring your practice will be leading the way in patient care as well as compliance.

Risk Reduction
By identifying the appreciable risks within a practice or organization, the chances of committing costly mistakes can be greatly reduced. As a compliance plan is developed and then implemented, practical policies and procedures can be put in place throughout each department. As a result, staff can be better trained through continuing education programs and workshops. In most cases, policies and procedures tend to focus on such important matters as billing, documentation, and the requirements of Medicare and other third-party providers and payors.

Legal Dilemmas
Due to the compliance process being so complex, it’a virtually inevitable that legal dilemmas will occur. When this happens, it’s more important than ever to consult with a healthcare compliance lawyer before things begin to unravel. One of the most common problems practices and organizations face revolve around the False Claims Act. With numerous timely amendments having been made to it in recent years, practices face additional obligations when it comes to repaying identified overpayments. With various legal requirements surrounding the identification of overpayments, a knowledgeable healthcare compliance programs lawyer can guide a practice or organization through the complicated process of determining how and when to carry out repayments.

Essential Elements of a Compliance Program
Even though compliance programs are largely voluntary for practices and organizations, they nevertheless need to possess certain elements to be successful. According to the U.S. Department of Health and Human Services, some of the most important elements include designating a compliance officer and compliance committee, conducting appropriate training and education for staff, responding quickly to offenses and taking corrective action, having open lines of communication, and enforcing disciplinary standards. By identifying the areas of a practice or organization that have the most urgent needs, it will be much easier to have key personnel gain a greater understanding of how services are provided, documented, and billed.

Who Performs Internal Compliance Audits?
To ensure an organization gets the best results during a compliance audit, it’s highly recommended that they be performed under the direct supervision of an attorney. When done in this manner, the organization or practice can have peace of mind knowing its work falls under attorney-client privilege. By being able to provide your lawyer with all initial drafts of compliance rules and regulations, you can be sure everything will be thoroughly reviewed prior to implementation. In addition to this, a lawyer can recommend the use of an outside auditor for the compliance audit. Although it’s widely acknowledged that a member of the organization or practice who has specific coding or billing knowledge could perform the audit, compliance programs lawyers know an outside auditor will provide a fresh set of eyes on matters, which can often be the key to ensuring billing is done correctly.

The Internal Reporting System
When an organization implements a compliance program, one of the most important aspects involves setting up an internal reporting system. Examples of this can include a hotline, suggestion box, or other means of confidential communication. In most organizations that conduct employee training sessions, all who attend usually sign statements agreeing to report all compliance matters. While this may not sound important at first, the fact is it provides significant legal protection for the practice, since employees are required to bring compliance matters to the internal compliance officer rather than to an outside entity.

While healthcare compliance rules and regulations can be some of the most complex of any industry, it is crucial to ensure your practice is abiding by all of them in a professional manner. By working with a healthcare compliance programs lawyer, the chances of making critical mistakes lessens tremendously.


Charle Butler
Charle Butler
2021-03-12
Verified
I was hesitant to hire the Spodek Law Group. I read reviews and knew they have a great reputation. However, I thought I would spend money and not see or speak to my attorney. From the beginning to end of my case Todd and the entire staff were available and willing to help. We worked towards and end result that was way above my expectation and Todd delivered. I am forever grateful for patience and long days and night spent working on my case. Thanks Todd and the entire team!
Mesonista parsons
Mesonista parsons
2021-03-05
Verified
My attorney at Spodek was Abigail. She was very knowledgeable and helpful with all my questions and concerns, as well as responsive. Her fees are affordable and Abigail took the time to make sure I understood everything relating to my case. I highly recommend Abigail and will request her services in the future.
debabrata chakraborty
debabrata chakraborty
2021-03-03
Verified
Todd A Spodek is the experienced and best criminal lawyer at USA. He is very professional and always respond on time. Alex also very cooperative and always help me. They took care me and my problem like family member. I am 100% satisfied for their professional service. My result was unexpected and amazing. They dismissed my case. I am really grateful to them. I will recommend you to go there if you want to solve your problem. I wish all the best for them.
Asata Hendricks
Asata Hendricks
2021-03-02
Verified
Truly appreciate the work the guys did!. Exceptional team & I know they care about each and everyone of their clients. I am super thankful to be referred to Spodek Law Group and I am grateful Todd & Alex were able to work diligently to achieve an outcome I am pleased with. Despite COVID they stayed on top of things and kept me informed every step of the way. Very thankful.
Mike Moroff
Mike Moroff
2021-02-26
Verified
I'm very satisfied with the services rendered by Todd, Alex and Mary Lou. I whole heartedly recommend Spodek Law Group . I've worked with and have retained other attorneys in the past with Todd's firm being the cream of the crop for many reasons. A very serious legal matter was resolved after a year's hard work and effort. Todd expertly guided me through the process and was able to navigate and make the good journey bearable as well as successful. Mary Lou initially provided excellent assistance before referring my case to Todd. Alex's support was effective and timely. The customer portal (MyCase) is an invaluable communication tool that also kept track of my case. Various aspects of my case were explained and there were several options provided but I made the final decision of how the case would be handled. The legal fee was reasonable considering the effort and amount of work plus it was a flat fee regardless of the length of time required to conclude my case. Todd made himself available to me and we had many scheduled meetings to go over the progress and to discuss the next steps. I felt more confident after many discussions with him. You will not go wrong choosing Spodek Law Group for legal matters.
Josh Katz
Josh Katz
2021-02-24
Verified
Being that it was the first time that I was in need of an attorney, I was afraid and hesitant and knew I needed the absolute best. It is beyond understood why Spodek Law Group has a reputation of being the top, if not the best law firm in New York. Alex and Abigail were there every step of the way even at the most unconvenient hours. I could not have asked for more. They are extremely good at what they do and they delivered much much more than just winning my case. A big thank you to Alex and Abigail for all the guidance and counseling and their upmost loyal support that extended far more than just legally. If you need the absolute best than don't hesitate to hire Spodek Law Firm.
L.C.
L.C.
2021-02-24
Verified
I cannot tell you how thankful I am to Todd and Alex for their hard work and dedication to my case. I had never been in any trouble before but I had an unfortunate event occur and in the midst of COVID-19 at that therefore I knew I needed a team that was dedicated to my success. Today- my case has been finalized and I’m walking away with no record and can continue life as a mother and a Grad student worry free. I cannot express enough gratitude for their assistance.
AnnMarie Soliman
AnnMarie Soliman
2021-02-23
Verified
I received a summons and called Spodek law group for a free consultation. Alex took my call and was very quick and responsive. He was available anytime through multiple platforms and very reassuring when needed. They are extremely organized and thorough. They got my case dismissed! I’m very grateful. Thank you Alex and Todd!

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"Spodek Law Group have offered me excellent support and advice thru a very difficult time. I feel I've dealt with someone who truly cares and wants the best outcome for you and yours. I'm extremely grateful for all the help Spodek Law Group has offered me. I can't recommend them..."

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"Spodek Law Group was incredibly professional and has given me the best advice I could wish for. They had been helpful and empathetic to my stressful situation. Would highly recommend Spodek Law Group to anyone I meet."

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"Best service I ever had. Todd is absolutely class personified. You are in the safest hands with spodek. They have their clients interest in mind."

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