decisionhealth Newsletters, Coder Pink Sheets - 2023 Issue 12 (December)
Compliance: New compliance guidance makes it easier for practices to think small
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Article Overview
This article reviews the HHS Office of Inspector General’s updated General Compliance Program Guidance and explains how it compares with earlier compliance guidance used by physician practices. It highlights the broad areas covered by the new guidance, why the update matters for healthcare organizations, and the kinds of practical considerations small and solo practices may want to evaluate when shaping a compliance program. The article is aimed at healthcare providers, practice leaders, compliance staff, and administrators seeking a high-level understanding of the new framework and its relevance to smaller organizations.
Why This Topic Matters
Updated compliance guidance can affect how healthcare organizations design internal programs, train staff, monitor risk, and align with federal expectations. Smaller practices in particular may need to adapt these principles to limited staffing and resources while maintaining effective oversight.
Article Sections
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Take note of 3 new features
Summarizes several broad changes in the updated compliance guidance, including presentation format, expanded regulatory coverage, and the general approach to encouraging compliance.
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Use customized guidelines for small organizations
Discusses how the guidance addresses tailoring compliance programs for smaller healthcare organizations and the types of program elements that can be adapted to fit limited resources.
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3 elements for effective scaled-down compliance programs
Outlines high-level considerations for small practices seeking to structure a scaled-down compliance program and maintain basic oversight processes.
What You Will Learn
- How the updated OIG compliance guidance is presented at a high level
- Why the guidance is relevant to smaller healthcare organizations
- What broad compliance topics the guidance covers
- How practices may think about tailoring compliance programs to available resources
- What general program areas are emphasized for smaller practices
Who Should Read This
- Physician practices
- Small healthcare organizations
- Compliance officers
- Practice administrators
- Healthcare managers
- Billing and coding staff
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