4 new compliance measures you'll want to keep an eye on

Why This Topic Matters

The article helps practices anticipate more stringent federal compliance expectations and prepare for policy updates that could affect enrollment, documentation, and internal compliance programs.

Article Sections

1. Overview of the new compliance measures

   Introduces the article’s four major compliance topics and frames them in the context of broader healthcare reform. It sets up the types of requirements that physician practices may need to monitor.

2. Payment suspension during fraud investigations

   Discusses federal authority related to payment suspension while an investigation is pending and the anticipated implementation process. The section also references the role of future regulatory language and stakeholder feedback.

3. Disclosure of relationships with excluded providers or suppliers

   Covers disclosure expectations tied to enrollment and revalidation when business relationships involve parties not in good standing with federal programs. It addresses the general category of relationships that may require review.

4. Documentation of referrals and orders

   Explains the importance of maintaining written records for referrals and orders and notes the associated enforcement consequence. The section emphasizes documentation readiness within existing practice workflows.

5. Compliance plan requirements

   Summarizes the requirement to develop and implement a compliance plan within a future timeframe. It also notes that HHS and OIG are expected to define the providers affected and the elements of an acceptable plan.