decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Compliance / Step Three_Designating a compliance contact
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Article Overview
This article covers practical ways a physician practice can designate a compliance contact or compliance officer after audits identify risk areas. It is aimed at practice administrators, compliance staff, and physicians who need to understand staffing options, oversight responsibilities, and general compliance program administration considerations. The discussion addresses internal role assignment, outsourced compliance support, liaison functions, and broad oversight duties tied to maintaining a practice compliance program.
Why This Topic Matters
Choosing who oversees compliance affects how a practice manages audits, corrective actions, training, monitoring, and ongoing program maintenance. The article helps practices evaluate staffing constraints and organizational structure when deciding how to handle compliance responsibilities.
Article Sections
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Compliance responsibility after audits
Introduces the need for a person or persons to oversee response efforts after audits identify risk areas. It discusses the general role of compliance oversight in a physician practice.
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Compliance officer and compliance contacts
Describes options for assigning compliance responsibilities within a practice, including shared responsibilities and designated compliance contacts. It also discusses how duties may be divided among employees.
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Outsourcing compliance functions
Covers the option of using outside parties to perform some or all compliance officer functions. It also notes factors a practice may consider when evaluating outsourced support and liaison arrangements.
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Suggested duties for the designated compliance person
Summarizes broad categories of responsibilities that may be assigned to a compliance lead. These duties relate to program oversight, monitoring, training, review, and response to concerns.
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Practice-specific assessment
Closes with the need for each practice to assess its own circumstances when choosing a compliance oversight approach.
What You Will Learn
- How practices can structure compliance oversight roles
- What broad responsibilities may be assigned to a compliance lead
- Why outsourcing compliance functions may be considered
- How practices can evaluate staffing limitations and operational needs
Who Should Read This
- Physician practices
- Practice administrators
- Compliance officers
- Billing and coding staff
- Healthcare managers
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