OIG Model Compliance Plan / Compliance Tips and Tools / Key Indicators that Your Compliance Program Works

Why This Topic Matters

It helps organizations evaluate whether core compliance processes are active, documented, and responsive to risk areas. The article is relevant for teams responsible for compliance oversight, billing integrity, training documentation, and policy maintenance.

Article Sections

1. Auditing and monitoring

   Discusses how organizations may evaluate complaint intake, hotline activity, exit interviews, and billing audit activity as part of compliance oversight. It also notes general signs used to judge whether monitoring efforts appear effective.

2. Training and education

   Covers annual training review practices, employee and physician survey use, and keeping training materials current with new laws and enforcement developments. It also addresses documentation of training attendance and content.

3. Communication

   Reviews the availability and visibility of reporting channels such as hotlines and other contact methods. It also describes maintaining awareness of reporting mechanisms through ongoing internal communication.

4. Disciplinary standards

   Summarizes annual review of disciplinary actions and the importance of documenting enforcement activity consistently. It focuses on tracking corrective actions and follow-up steps within the compliance program.

5. Written standards

   Addresses annual review of written compliance policies and keeping them aligned with current internal and legal changes. It also notes the role of legal review in maintaining policy currency.