Department of Health and Human Services Issues Compliance Effectiveness Resource Guide

Department of Health and Human Services Issues Compliance Effectiveness Resource Guide Radiology practices looking to improve their compliance program effectiveness should check the new resource guide developed by the Department of Health and Human Services (HHS) and the Office of the Inspector General (OIG). The downloadable 54-page resource guide at ( https://oig.hhs.gov/compliance/101/files/HCCA-OIG-Resource-Guide.pdf ), issued on March 27, 2017, covers the proceedings of a January 2017 compliance effectiveness roundtable that involved OIG compliance professionals and staff. It describes measurement options and covers the following seven common compliance program elements for healthcare organizations:" Standards, policies and procedures; Compliance...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This page brings together two short radiology-related updates: a Department of Health and Human Services and Office of Inspector General resource guide on compliance program effectiveness, and an ACR FAQ summary about clinical decision support and appropriate use criteria for advanced medical imaging under Medicare. It is useful for radiology practices, compliance staff, and physicians who need a broad understanding of the topics, the issuing organizations, and the implementation timeline discussed in the source material.

Why This Topic Matters

The content helps readers determine whether they need the full premium article for compliance program review or for background on Medicare imaging decision support policy. It is relevant to organizations following HHS/OIG compliance guidance and ACR/CMS-related imaging workflow updates.

Article Sections

  1. Compliance Effectiveness Resource Guide

    An overview of a downloadable HHS and OIG resource guide on compliance program effectiveness for healthcare organizations. The section covers the general compliance program elements addressed in the guide and the intended purpose of the resource.

  2. ACR FAQ on Clinical Decision Support Mandate

    A summary of ACR guidance addressing clinical decision support and appropriate use criteria for advanced medical imaging under Medicare. The section notes the related federal policy background, implementation context, and timeline discussed in the article.

What You Will Learn

  • What topics are covered in the HHS and OIG compliance resource guide
  • What areas of compliance program effectiveness the guide discusses
  • What the ACR FAQ is about in relation to Medicare imaging policy
  • Which organizations and federal programs are referenced in the update
  • What general implementation context is provided for the imaging decision support discussion

Who Should Read This

  • Radiology practices
  • Compliance officers
  • Physicians ordering advanced imaging
  • Healthcare administrators
  • Coding and reimbursement professionals

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