Who We Are
JNC Healthcare Compliance Group provides healthcare advisory services to small and medium-sized medical, dental, and behavioral health practices nationwide.
We specialize in ensuring that a checks and balances system is created to avoid future government audits.
Our team will help you implement and maintain compliance and practice standards that are conducive to the specific specialty per federal and state regulations.
The healthcare field is continuously changing. Let us embrace the changes, so your focus is on patient care.
Our Services
We know you run a busy practice, so allow us to lighten your load by providing services that work around your schedule. Even if you are not sure where to start, let our advisors walk you through a free initial consultation to access your practice needs to advise you on a better return on investment.
Audits & Risk Assessments
Templates, Policies & Procedures
Advising &
Training Services
What Our Clients Have to Say
Help us stay in compliance!
I found that JNC Healthcare’s information is helpful when it comes to owning and operating my multiple healthcare businesses. JNC Healthcare is very supportive with providing resources, checklists, and meeting with myself and my team. Their information has helped us stay in compliance.
Peniston Health Care Services
Grateful to call upon them for all of our compliance needs!
JNC Healthcare Compliance Group was a big help with explaining compliance standards to our medical billing and coding professionals in a live virtual setting. During the training, they were thorough, and everyone was eager to learn more. We are grateful to call upon them for all of our compliance needs.
H&M Medical Coding institute
Our Team
JNC Healthcare Compliance Group has over 20 years of combined experience and worked for reputable healthcare organizations.
Our advisors, auditors, and instructors are skilled in a wide array of specialties with an in-depth understanding of the healthcare industry. And have extensive knowledge in compliance, training, front-desk operations, billing/coding, accounts receivable follow-up, revenue cycle management, and more.
We hold numerous industry certifications and are active members of professional affiliations to stay current in continuing education units and trends to bring the most relevant information to our clients. Our team has a thorough understanding of commercial, federal, and state regulations.
Through our education and experience, we are trained to provide our clients with easy to use techniques that will ensure you provide quality service from front to back office.
Tips & Tools
The theme of this series focused on verifying if your compliance program is safe and meets government regulations. In this final tip, your program should always: […]
In this series, I shared that the government recovered five billion dollars from the healthcare False Claims Act in 2021, one of the most significant recoveries […]
In this series, I have already shared four ways healthcare leaders can verify their compliance program is safe, which leads to: #5: Implement and monitor Business […]
Studies show: Nearly 80 percent of medical claims that providers submit to payers have mistakes. Practices incorrectly code approximately 55 percent of evaluation and management claims. […]
Friends, did you know: The average HIPAA settlement fine is approximately $1.1 million. This average is only increasing as HHS becomes more aggressive in enforcing HIPAA […]
Previously I shared healthcare leaders must evaluate whether patients are a priority within their compliance program, which leads to: #2: Cultivating a culture of compliance among […]
Did you know the Department of Justice (DOJ) recovered over 5 billion dollars from the False Claims Act in 2021 from healthcare alone? And it’s just […]
Compare the DOJ’s compliance document to your compliance program and adjust. The final resource I would like to share from the series, The Comeback Story: 9 […]
Attend training hosted by the OCR to learn more about HIPAA. The eighth resource I would like to share from the series, The Comeback Story: 9 […]
Review the MLN and sign-up for a free training. In this series called The Comeback Story: 9 Compliance Resources to Level Up Your Practice, we are […]
Bookmark the Centers for Medicare & Medicaid Services (CMS) site. In our series called The Comeback Story: 9 Compliance Resources to Level Up Your Practice, I […]
Review and implement checking exclusion lists regularly within your practice. In Part V of our series called “The Comeback Story: 9 Compliance Resources to Level Up […]
Analyze and compare the OIG & HCCA Resource Guide to your compliance program. In our fourth week discussing, our series called The Comeback Story: 9 Compliance […]
Monitor the OIG’s Work Plan at least monthly Each week in our series called, The Comeback Story: 9 Compliance Resources to Level Up Your Practice, I […]
Examine the free educational resources developed by the OIG. In the last tip of our series, called The Comeback Story: 9 Compliance Resources to Level Up […]
Study the OIG Federal Register 2000. I was recently thinking about my high school graduation, and how much I dreaded my first college level math course. […]
Educate your staff about cybersecurity and breaches. As we end our series called “Compliant or Complacent: How to Upgrade Your Routine,” you must remain uncomfortable and […]
Examine top coding and billing risks within your practice. Did you know that studies show approximately 55 percent of evaluation and management (E/M) visits are coded […]
Audit your practice annually to avoid the exclusion list, penalties, and investigations. In the opening of our series called “Compliant or Complacent,” I shared why being […]
Brush off your compliance plan and increase your knowledge. I once saw this statement circulating on social media: Are you really happy or just really comfortable? […]
Ensure you re-review your policies regarding documentation, record retention, and patient requests. The last tip explained why understanding non-covered services is part of non-clinical duties, which […]
Evaluate insurance company’s guidelines on non-covered requirements and create policies. In our series called “Dear Provider: Don’t Give Up,” our last tip highlighted the issue physicians […]
Study and increase your knowledge of insurance company’s processes. The previous tip kicked off our series called “Dear Provider: Don’t Give Up,” highlighting the lack of […]
Implement new strategies and rebuild your accounts receivable program. 75 percent of respondents indicated non-clinical skills are more important than they were in the past because […]
Send newsletters to patients sharing practice news and updates. As we end our series called 5 Compliance Concerns Your Patients Won’t Tell You, a common complaint […]
Monitor HIPAA and medical record trends to increase security. As you learned from the previous tip, understanding the patient’s concerns should always be top of mind. […]
Provide clarity around your billing statements. The last tip discussed the importance of accurate financial policies to help ease the concern of patients. And after you […]
Review and update your financial policy. In the last tip, we discussed the first compliance concern your patient won’t tell you, which leads into our second […]
Tip Series: 5 Compliance Concerns Your Patients Won’t Tell You A few years ago, I remember visiting an oral surgeon. I had been holding onto my […]
Enact the “Three E’s of Reinventing” within your practice. As shared throughout the series, it is critical that your practice has a strategic compliance plan that […]
Review the OIG task list and activate. Before considering compliance activities or team roles, review strategies for implementation and monitoring; the wrong approach will make or […]
Reflect on the “Strategies to Reinvent Your Team” series. Compliance plan. Did you cringe? Did you stop reading? Don’t click off the screen just yet! As […]
Monitor your practice communication and update annually. After you have completed all the communication steps listed from our series called “The Blame Game: 5 Tips to […]
Develop employee’s communication skills through ongoing training. An excellent educational program should consist of various training types, such as in-person sessions, online courses, distribution of newsletters, […]
Devise a communication checklist. In the last post of our series called “The Blame Game: 5 Tips to Restore Practice Communication,” we discussed the importance of […]
Create communication policies and procedures. In Part II of “The Blame Game: 5 Tips to Restore Practice Communication,” one must truly understand the rules to end […]
Identify the root cause and establish a plan. Let’s face it. Nobody likes to admit they have a communication problem. In some cases, it’s easier to […]
Restore your practice communication in five steps. Scheduler: Hello, John Doe’s Medical Clinic. How may I assist you? Patient: Yes, I am calling because I am […]
Evaluate CMS’s new enforcement authorities to reduce fraudulent behavior. On Sept 5, 2019, CMS announced new enforcement authorities to reduce fraud within Medicare, Medicaid, and CHIP. […]
Enforce disciplinary standards through well-publicized guidelines. In element six, we discussed promoting open lines of communication, which is part of the 7 Elements of an Effective […]
Develop open lines of communication. Open communication between staff, patients, and patients’ family is essential when building an effective compliance program. Did you know communication failures […]
Respond appropriately to detected offenses and develop corrective action plans within your practice. As discussed in our previous tip, we shared the 7 Elements of an […]
Conduct appropriate training and educate your entire practice regarding compliance regulations. In our last tip, we discussed the 7 Elements of an Effective Compliance Program, in […]
Designate a compliance officer or contact that will assist you with building an effective compliance program. In the last few tips, we have been discussing the […]
Implement compliance and practice standards within your practice. As shared in our previous tip, all practices should follow the 7 Elements of an Effective Compliance Program, […]
Ensure that your practice is conducting internal monitoring and auditing regularly. As stated in our previous tip, it is important that all practices follow the 7 […]
Interpret and apply the “7 Elements of an Effective Compliance Program” for individual and small group physician practices. The goal of the OIG compliance guidance is […]
Discuss the Exclusion Statute with your management team. And, check the exclusion list (LEIE) at least monthly. What is the Exclusion Statute? Per the OIG, under […]
Review the Stark Law and examine your referral relationships with designated health entities. In our previous tip, we discussed the importance of understanding the Anti-Kickback Statute […]
Examine the Anti-Kickback Statute (AKS) and determine whether your practice is in violation. The Anti-Kickback Statute (AKS) can be difficult for practices to understand if one […]
Research the False Claims Act (FCA) and share with your staff how it applies to your practice (with examples). In the next few posts, we will […]
Post the definition of abuse and share examples with your team. Now that we talked about fraud in our previous tip, let’s go into the definition […]
Reflect on the definition of fraud and share the examples with your team. Now after hearing the OIG disclaimer in our previous tip, let’s go further […]
Review and reflect on the OIG’s thoughts about the difference between “erroneous” and “fraudulent” claims. In this tip, we want to provide you all the OIG […]
Explain the benefits of a compliance program and share resources with your team. We always share the importance of compliance plans; however, here are a few […]
Review the HHS and OIG’s breach notification requirements to ensure HIPPA compliance. Per HIPAA, “a breach is defined as an unauthorized acquisition, access, use, or disclosure […]
Assign an employee or hire a Privacy Officer to develop and monitor your HIPAA-compliant privacy program. Per HIPAA, it is required that privacy personnel are designated […]
Create policies and procedures regarding patient requests and disclosures. Patient requests under HIPAA provide individuals the right, under certain circumstances, to access, inspect and obtain copies […]
Examine your marketing practices to ensure HIPAA compliance. Did you know HIPAA created limitations around using PHI for marketing purposes? Under the Privacy Rule, marketing is […]
Review and share the key components of HIPAA with all employees and patients. We know that most of you are familiar with HIPAA; however, reviewing this […]
Get serious about HIPAA. The Health Insurance Portability and Accountability Act of 1996 or HIPAA is a law that is designed to protect patient medical information. […]
Complete annual inspections and walkthroughs regarding exit routes, fire and emergency safety plans, and OSHA signage. In our OSHA Series, we talked a lot about safety […]
Review and apply OSHA’s “Recording and Reporting Occupational Injuries/Illnesses Standard” to your practice immediately. The standard was created to require employers to record and report work-related […]
Assess and test your employees regularly about personal protective equipment (PPE) removal guidelines. Quality is a key aspect of healthcare, which is directly connected to how […]
Evaluate your exposure control plan annually. A written exposure control plan intends to focus on the bloodborne pathogen standard, which guides how to protect your employees […]
Identify and train staff on the Bloodborne Pathogens Standard. OSHA defines the term healthcare worker as paid and unpaid persons who have the potential to be […]
Get serious about OSHA. OSHA is one of the three agencies created by the Occupational Safety and Health Act of 1970. The Occupational Safety and Health […]
Study and implement the OIG’s “7 Elements of an Effective Compliance Program” for your industry. The OIG has developed a series of compliance documents for the […]
Create an Advanced Beneficiary Notice of Noncoverage (ABN) policy/procedure and share with your team. Do you know how to use an Advanced Beneficiary Notice of Noncoverage […]
Schedule a meeting with your insurance provider relations representative. Did you know compliance issues can arise due to not understanding insurance contracts? Do you know the […]
Examine your write-offs and use the information to improve the financial health of your practice. Did you know your write-offs will provide clues of how successful […]
Reevaluate the payment experience for patients. Each year InstaMed releases their Trends in Healthcare Payments Ninth Annual Report. In this tip we would like to discuss […]
Query your third-party billing company regularly. A common issue we see practices face with third-party billing companies is the “set it and forget it” mentality. When […]
Review proper disposal of PHI according to the ‘HIPAA Security Rule.’ And, connect with vendors, educate, and train your employees. On busy days, HIPAA regulations are […]
Create a patient registration policy and procedure. Sadly, we find that practices assume that employees automatically understand the patient registration process. And, this is not the […]
Review your insurance contracts for information about professional courtesy and waivers of payments. And, consider creating a financial hardship policy. A common compliance concern is waiving […]
Create monthly healthcare compliance newsletters. Since this is the last tip of our employee engagement series, we would like to add the importance of communication through […]
Launch a ‘Lunch & Learn’ program. We have seen significant success with enacting a ‘Lunch and Learn’ program. Not only does it give employees a chance […]
Give small gifts to show employee appreciation. Did you know, per a Randstad survey, the top reason for leaving a job is due to lack of […]
Celebrate compliance “wins.” To continue our discussion about employee engagement, after you explain the ‘why’ through real-world training examples, assigned compliance duties, and quarterly one-on-one meetings……this […]
Schedule one-on-one meetings with staff quarterly. Statistics show one reason why employees are disengaged at work is due to receiving little to no feedback from management […]
Involve staff in compliance training. First, allow us to paint the picture of how we have seen some compliance training go: Watch a video. Read a […]
Explain the ‘why’ behind healthcare compliance to your team. Have you ever heard the saying “death by PowerPoint?” This same statement can easily transfer to […]
Determine which employees are “disengaged” within your practice and start brainstorming ways to increase their engagement. Per an August 2019 Gallup Poll about employee engagement, they […]
Implement security measures on all laptops associated with your practice. A report by Clearwater Cyberintelligence Institute found that laptops still pose the greatest risk for cyberattack […]
Educate employees about data breaches and acceptable behaviors when sharing data. A survey by Insider Data Breach asked more than 4,000 employees their thoughts on data […]
Develop a medical record request and retention policy to address state and federal laws. An article posted by HIPAA Journal shares the Dental Board of California […]
Evaluate your business associate agreements (BAA) to ensure PHI is appropriately safeguarded. In Feb 2019, per the HIPAA Journal, a vendor that provides secure electronic exchange […]
Ask your patients what privacy issues they see, especially regarding the EHR system. Patients see more than you think. According to the Kaiser Family Foundation’s poll, […]
Review, provide real-world examples, and quiz your staff about the most common medical coding errors identified by the American Medical Association (AMA). Here are 8 of […]
Send an email to your staff and discuss the Joint Commission’s article called the “Top 10 Most Frequently Reported Sentinel Events in 2018.” Last week, the […]
Hire a consultant to perform an annual compliance program risk assessment to measure effectiveness. As we end our review of SAI Global and Strategic Management’s “2019 […]
Verify that your compliance program priorities align with the government. From the SAI Global and Strategic Management Services “2019 Healthcare Compliance Benchmark Report,” they found: 77% […]
Use surveys to measure the effectiveness of your compliance program. Per the SAI Global and Strategic Management Services “2019 Healthcare Compliance Benchmark Report:” 64% have not […]
Enforce that your management team follows compliance provisions and train employees appropriately. Practice owners, how often do you verify whether your management team is following government […]
Hire vendors to ensure your employees are not on the OIG, GSA, or state exclusion list. In this post, we will continue to discuss our findings […]
Publicize your hotline. And, reiterate failure to report errors or fraudulent conduct is a violation of the compliance program. Per the SAI Global and Strategic Management’s […]
Train at new employee orientation and annually thereafter. Per the SAI Global and Strategic Management’s “2019 Healthcare Compliance Benchmark Report,” healthcare organizations are facing challenges in […]
Develop written compliance policies and procedures. Per the SAI Global and Strategic Management “2019 Healthcare Compliance Benchmark Report,” they found that: 39% of entities manage their […]
Increase your compliance budget. Per SAI Global and Strategic Management “2019 Healthcare Compliance Benchmark Report,” only 29% of entities expect to increase their compliance budgets in […]
Reinvent your team by assigning employees compliance tasks or hire an advisor. For the next few tips, we will share our thoughts about SAI Global and […]