decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Hospice Model Compliance Plan / Essentials of OIG's Hospice Model Compliance Plan
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Article Overview
This article summarizes the core components of the OIG’s model compliance plan for hospices. It is intended for hospice administrators, compliance staff, and coding or billing professionals who need a high-level understanding of compliance program structure, oversight expectations, and common risk-management topics addressed in the guidance.
Why This Topic Matters
Hospices operate in a heavily regulated environment, and this topic is relevant to organizations that want to strengthen compliance infrastructure and respond appropriately to potential misconduct or system weaknesses. The article helps readers understand the general areas the OIG expects to see addressed in an effective hospice compliance program.
What You Will Learn
- The main elements of a hospice compliance program overview
- How oversight, reporting, and complaint-handling functions are structured at a high level
- The general role of training, auditing, and corrective action in compliance programs
- Which broad risk-management areas are emphasized in hospice compliance guidance
Who Should Read This
- Hospice compliance officers
- Hospice administrators
- Billing and coding staff
- Healthcare compliance professionals
- Operations managers
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