Healthcare compliance in South Carolina is a dynamic field that requires medical providers to navigate various state-specific regulations. Compass Healthcare Consulting assists providers throughout the Palmetto State, ensuring they effectively manage compliance challenges and remain informed about the latest regulatory updates from Columbia to Charleston.
Healthcare Regulatory Compliance Rules in South Carolina
South Carolina’s healthcare regulations include unique requirements for various aspects of medical practice. As an example, AED programs must maintain:
- Designated user training
- A healthcare professional liaison
- An approved protocol including CPR training
- Equipment maintenance
Practitioners must register with South Carolina’s Prescription Reporting & Identification Prescription Tracking System (SCRIPTS) and consult it before prescribing controlled substances. Laser procedures are also closely monitored. They require written safety protocols, on-site physician supervision, and patient consent for non-physician operators.
Nurse practitioners and physician assistants have specific requirements for practice agreements, including annual reviews, prescriptive authority, and telemedicine provisions. Additionally, medical waste treatment facilities are obligated to return completed manifests to generators within 50 days of pickup.
Healthcare Agencies in the State of South Carolina
South Carolina has several healthcare agencies that provide various services to residents. The South Carolina Department of Health and Human Services (SCDHHS) administers Medicaid, offering health coverage for eligible residents.
The Palmetto State previously had the South Carolina Department of Health and Environmental Control, which was responsible for public health and environmental matters. However, it was dissolved into two separate agencies on July 1, 2024: the Department of Public Health (DPH) and the Department of Environmental Services.
South Carolina also has a network of home health agencies, including Amedisys Home Health, CenterWell Home Health, Interim Healthcare, and others that provide in-home care services. Additionally, the state has managed care health plans such as Absolute Total Care, Healthy Blue, Molina Healthcare, First Choice by Select Health, and Humana Healthy Horizons.
Meet Healthcare Regulatory Compliance in South Carolina
Compass Healthcare Consulting supports healthcare compliance in South Carolina through essential services tailored for local and national organizations. These include:
- Medical billing and coding reviews
- Risk assessment and compliance support
- Mergers and acquisitions assistance
These services help ensure healthcare organizations meet compliance standards and maximize operational efficiency in South Carolina.
Medical billing and coding reviews
Compass Healthcare Consulting’s medical billing and coding review service offers comprehensive chart audits for diverse physician groups, including multi-site, private-equity-sponsored, and health-system-affiliated practices. Our detailed analysis and reporting identify reimbursement-impacting trends, highlight high-risk areas for payor audits, and help reduce claim denials, optimizing revenue and ensuring compliance.
Risk assessment and compliance support
At Compass Healthcare Consulting, our risk assessment and compliance support service helps healthcare organizations navigate complex regulations. We conduct site-specific assessments for multi-site practices, identifying business and regulatory risks. Our tailored findings, actionable recommendations, and enterprise-level summaries enable prioritized risk management, ensuring compliance while enhancing operational efficiency.
Mergers and acquisitions
Compass Healthcare Consulting specializes in supporting medical practice mergers and acquisitions through comprehensive due diligence services. Our team conducts thorough analyses of revenue integrity and evaluates technology and regulatory risks via site visits, delivering detailed reports with actionable insights throughout the M&A process. We prioritize personalized client engagement, offering one-on-one consultations, regular communication, and tailored solutions to address specific challenges.
This approach helps healthcare organizations in South Carolina optimize operations, improve financial performance, and maintain compliance in a dynamic regulatory landscape. With our expertise and national reach, we enhance coding accuracy, mitigate compliance risks, and identify strategic growth opportunities for your organization.
