Navigating the compliance and regulatory environment in rural healthcare


Rural areas are particularly vulnerable and present a unique set of challenges in delivering healthcare services while ensuring a positive patient experience.

Combine these challenges with an increasingly complex compliance and regulatory environment, whether it’s omnibus burden relief rules or complying with HIPAA changes amid increasing cyber threats, to challenge rural healthcare environments. Navigating can be difficult.

Rural hospitals are increasingly closing, and rural medical centers are struggling to attract the necessary manpower to maintain operations.

The nation’s hospital workforce is 105,000 fewer than in February 2020, down about 2%, according to an analysis by the Richmond Federal Reserve Bank. Local providers are feeling the pinch.

For rural providers with limited resources, it is nearly impossible to maintain, let alone improve the patient experience. Providers often struggle to streamline operations and do not act quickly or decisively.

If there is any silver lining to the Covid-19 pandemic, it has been the catalyst for change that many rural and community clinics and hospitals have hoped to make but for various reasons have not.

insurance policy

As insurance becomes more complex, many healthcare organizations need additional staff to handle the necessary paperwork. A costly proposition that most hospitals cannot afford in changing circumstances.

Finding the talent and expertise needed to navigate complex regulations is a multifaceted dilemma, especially in many rural areas suffering from declining populations. But not doing so can be costly in the long run.

Organizations need to simplify processes to meet regulatory requirements and evolve as regulations change. This is especially true for a patient with her two insurance plans, a commercial plan and Medicaid.

A system that can handle complex rural healthcare settings, alert billing departments when payments are made, and when to act, acts as a pressure valve to overburdened departments.

The right technology partner can help streamline the administration of insurance regulations such as Medicare and Medicaid. It’s not without costs, but technology partners can safely store necessary documents, maintain records, and process payments, alleviating regulatory burden for already overburdened teams. I can do it.

cyber security threats

When it comes to cybersecurity, each year seems to be worse than the previous year. Hackers and malicious actors are increasingly setting their sights on healthcare these days.

For a variety of reasons, providers are likely to pay ransoms to restore IT services, which is a matter of life and death, and proves that personal medical data is a profitable commodity on the dark web. I am considering. The median ransom he paid was $75,000, making cybersecurity one of the most important investments for hospitals.

Rural providers’ lean IT teams and limited budgets hinder the investments they can make. Every investment counts, and your healthcare IT platform should have security solutions built into it.

Amid the Covid-19 pandemic, the Office for Civil Rights has released multiple waivers to ease the burden of complying with HIPAA. But as the world emerges from the pandemic and moves forward, HIPAA will once again become a top compliance priority.

Technology is your partner

Whether it’s minimizing the time staff need to review electronic health records (EHRs) to cover staffing shortages, streamlining billing processes, or providing unprecedented insight into patient records. , the right technology can provide critical support to healthcare teams.

Ultimately, navigating complex compliance and regulatory environments requires new solutions to long-standing problems. To new and long-standing challenges, local providers must adapt to position their organizations for future success and stability.

Solutions that enable healthcare providers to digitally transform their operations play a key role here. Providers must make strategic investments that will yield long-term returns, especially in cybersecurity, analytics and cloud-based platforms.

For example, data-driven analytics can help rural healthcare providers better understand how different social determinants of health (SDOH) affect populations. This insight helps organizations apply for grants that benefit and enhance their community-focused programs.

Additional investment in broadband access at the federal level will help bridge the digital divide. In doing so, more patients will be able to access medical services through telemedicine and patient portals.

The pandemic has brought new attention to health inequalities. This is because long-disadvantaged communities have faced even worse consequences from his Covid-19.

We are facing unprecedented headwinds. Many local and regional clinics and hospitals are scaling back services to maintain some level of operations.

Technology can help organizations weather these headwinds and position themselves for future success. The time to act is now — before new regulations mandate it.

Photo: Malecleus, Getty Images



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