decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Training / Overview
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Article Overview
This short training overview explains the general expectations surrounding provider compliance programs and the importance of maintaining them over time. It is aimed at compliance and revenue cycle professionals who need a high-level understanding of how oversight and vigilance relate to fraud and abuse risk management. The article discusses broad compliance-program concepts, monitoring, and the role of compliance officers without providing detailed coding or billing instructions.
Why This Topic Matters
It helps readers understand the operational and governance side of compliance programs, which is important for organizations trying to reduce fraud and abuse risk and stay aligned with OIG expectations.
What You Will Learn
- Why compliance programs must be actively maintained after implementation
- The general role of ongoing monitoring in fraud and abuse risk management
- How compliance officers contribute to identifying early warning signs of problems
- Why program oversight matters in relation to OIG expectations
Who Should Read This
- Compliance officers
- Healthcare administrators
- Revenue cycle professionals
- Practice managers
- Billing and coding managers
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