BC Advantage - 2018 Issue 1
Compliance: What is it and Why is it Important
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Article Overview
This article explains the general concept of compliance in healthcare and describes why it is important for patients, staff, and organizations. It discusses the role of major regulatory and enforcement bodies, the impact of audits and investigations, and the growing importance of compliance work for health information management professionals. The piece is relevant for readers who want a broad introduction to healthcare compliance and the types of oversight that shape day-to-day operations.
Why This Topic Matters
Healthcare compliance affects reimbursement, legal risk, organizational reputation, and professional responsibilities. Understanding the topic helps HIM professionals and other healthcare workers recognize the importance of following applicable rules and responding appropriately to oversight activity.
What You Will Learn
- What compliance means in a healthcare setting
- Why compliance is important to healthcare organizations and workers
- Which types of regulatory and enforcement organizations are involved in oversight
- How audits, exclusions, and fraud enforcement can affect the healthcare environment
- Why compliance responsibilities matter for HIM professionals
Who Should Read This
- Health information management professionals
- Healthcare compliance staff
- Medical office staff and administrators
- Healthcare workers
- Students in health information management
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