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Compliance Blog - R.J. Hedges & Associates


Becky Templeton

Becky is a Board Certified DME Specialist and Accredited Business Intermediary. Her education and training background fuels her desire to understand how things work, while trying to get the simplest answers and best methods for implementation. She is the go to woman for R.J. Hedges’ training and the voice of many of our videos.

Recent Posts

How to Value an Independent Pharmacy

[fa icon="calendar'] Tue, Feb 19, 2019 / by Becky Templeton posted in Pharmacy Brokerage

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Although a pharmacy’s true value is determined by what a buyer is willing to pay for it, there are a number of factors that go into a valuation. Beyond that, valuations happen for a variety of reasons, including retirement planning, expanding a current business, or adding a location. Less fortunate examples include dissolving partnerships, a buyout or dispute, and settlements of assets or estates. Or, in the case of purchasing a pharmacy, a valuation helps determine if the asking price has merit.

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HIPAA BAA - Why the Business Associate Agreement May be Your Pharmacy's Most Important Piece of Paper

[fa icon="calendar'] Tue, Feb 12, 2019 / by Becky Templeton posted in Business Associate Agreement, HIPAA

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RJ_Hedges-BAA-Cartoon_Sketch-010819

A colleague recently shared a news release about a physicians’ group that was hit with a $500,000 fine. The fine wasn’t a result of fraud, a misfiled prescription, or malpractice, as one might expect.  Instead, the physicians’ group simply failed to have business associate agreements in place. 

This led me to wonder two things.  First, how common is it for people to go through eight or more years of school to become a doctor without fully understanding HIPAA? And second, if practitioners realize the importance of protecting patients, do they understand what they can put in place to protect themselves as the practitioner?

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Staying off the OIG Naughty List

[fa icon="calendar'] Wed, Dec 19, 2018 / by Becky Templeton posted in Inspections

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RJ_Hedges-Christmas_Comic_Strip-120718This time of year, children are compiling Christmas wish lists, trying their hardest to stay on Santa’s “Nice List” and possibly doing extra things to move off the “Naughty List.” We’ve had a lot of questions lately about another Naughty List out there, the OIG Exclusion List or List of Excluded Individuals & Entities (LEIE). Most people already know that if a person or entity commits Medicare fraud they will go on the exclusion list, but many pharmacy owners have been wondering, “What else might someone do to get on that list?” We’ve compiled a few ways to stay off the OIG Naughty List, aka the OIG Exclusion List.

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Podcast: Competitive Bid, What does that Mean to Me

[fa icon="calendar'] Wed, Dec 12, 2018 / by Becky Templeton posted in Pharmacy

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Did you hear that Competitive Bidding is being eliminated and everyone can start doing DME again?  While it’s not being totally eliminated, Competitive Bidding will be suspended nationwide from 1/1/2019-12/31-2020, while a new program is being prepared.  Many pharmacies will be able to start dispensing things previously deemed ineligible if the pharmacy was in one of those competitive bidding zones.
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Why Independent Pharmacies Should Have a Diabetic Shoe Program

[fa icon="calendar'] Tue, Dec 11, 2018 / by Becky Templeton posted in Diabetic Shoes

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Regardless of the ailment, independent pharmacies should always be asking the same question: How can we best serve the market and the patients who are suffering? When it comes to diabetes, there absolutely is a market for products and services. It’s estimated that more than 100 million adults in the United States have diabetes or prediabetes, and that estimate is getting larger by the year.

Diabetes is a chronic and prevalent medical illness that often leads to circulatory problems, stroke, heart disease, kidney disease, and even blindness. Filling prescriptions for diabetes medications is a start, but independent pharmacies should be doing more to serve the diabetes patient market. Pharmacies can provide education and resources to better help patients manage their disease and even protect them from related medical problems. However, independent pharmacies should also consider offering non-prescription diabetes products, like a diabetic shoe program.

A diabetic shoe program, when combined with other ancillary services, can directly impact margins for independent pharmacies. Improving your margins is still a product of the number of prescriptions filled, but aggressively marketing these additional services can attract and secure additional customers. Big box pharmacies typically don’t offer diabetic shoe programs, giving independent pharmacies an edge with this demographic. Expanding your pharmacy’s diabetic care services leads to healthier patients and better margins, so it’s a true win-win situation.

So, how does an independent pharmacy develop a diabetic shoe program? Let’s explore the subject.

 Boost Business to Your Facility with a Diabetic Shoe Program   * 1st- Complete our easy online questionnaire   * 2nd- Our team will review, customize, and create your program   * 3rd- You’ll be given access to your files via our Compliance Portal Start  Your Application Now

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Keeping in Compliance when Terminating Employees

[fa icon="calendar'] Tue, Dec 4, 2018 / by Becky Templeton posted in HIPAA

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We know that no employer likes to terminate an employee; from the business standpoint- there’s an open position that we must re-hire and re-train, it can be taxing on the rest of the staff and difficult for managers to try to work in interviews and screening processes into their already jam packed schedules.  And then there’s the additional emotional tie as well- these folks maybe leaving unexpectedly or under strained situations, and there’s personal friendships have been forged and they’re now kind of dicey, so it can be very difficult.
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Who should have a DMEPOS Compliance Program in place?

[fa icon="calendar'] Mon, Oct 15, 2018 / by Becky Templeton posted in DMEPOS

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DMEPOS

Sometimes life isn’t as easy as we hoped it would be. An accident, illness, or injury can happen resulting in the need for extra products and services for our patients to lead their daily lives.  For patients requiring these devices, they can rest assured knowing a local community provider is available to help them with their particular needs.  In today’s blog, we will discuss why having a DMEPOS compliance program is important, things you can do to get started, examples of other people who thought they didn’t need to have all their DME items in place and the issues they got into and some solutions to help keep your sanity while juggling all the items needed to bill Medicare for DMEPOS items.

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Is it possible to make FWA Prevention exciting?

[fa icon="calendar'] Fri, Oct 12, 2018 / by Becky Templeton posted in FWA

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Fraud, Waste and Abuse Compliance

For some reason, it seems people think fraud, waste and abuse prevention compliance is difficult.  While it is boring and it clearly has some scary ramifications when not followed, it’s actually very simple and fairly easy to implement.  In this article, we will discuss why having a FWA prevention compliance program is important, things you can do to get started, examples of other people who thought they didn’t need to have all their FWA items in place and the issues they got into and some solutions to keep you from getting into hot water with Medicare and OIG.

 

How compliant is your pharmacy? Take our Fraud, Waste, and Abuse Compliance Assessment

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HIPAA Compliance for Pharmacies

[fa icon="calendar'] Mon, Oct 8, 2018 / by Becky Templeton posted in HIPAA

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Why is it important to have a written compounding compliance program?

[fa icon="calendar'] Fri, Sep 28, 2018 / by Becky Templeton posted in Compounding

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Compounding Medications

Prior to the 1940s, nearly all prescription medications were compounded.  With the increased demand for mass manufacturing of drugs after World War II, the number of compounded medications quickly dwindled. Unfortunately, this led many patients to not have all their needs met.  Luckily today, many community pharmacies are able to compound medications to help personalize medications for patients who need alternate strengths, dosage forms, flavors and even alter ingredients because of allergies or sensitivities.  

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