decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Fraud and Abuse / Value and fundamental principles of compliance programs
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Article Overview
This article explains the general purpose and value of compliance programs in physician practices, with emphasis on Office of Inspector General guidance. It is aimed at practices and other independent practitioners that want to understand broad compliance-program principles, organizational expectations, and the role of leadership, ethics, and coordination in supporting adherence to federal, state, and payer requirements.
Why This Topic Matters
Compliance programs are a core part of reducing fraud, abuse, and operational risk in health care settings. Understanding the broad principles discussed here helps practices assess whether their internal policies, leadership, and oversight structures align with recognized compliance expectations.
What You Will Learn
- Why the OIG considers a model compliance plan relevant to physician practices
- How compliance programs support ethical conduct and organizational accountability
- What general functions a practice compliance program is intended to serve
- Which types of practitioners may use the guidance as a framework
Who Should Read This
- Physician practices
- Independent practitioners
- Practice managers
- Compliance officers
- Health care administrators
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