E/M Coding Alert - 2010 Issue 26
Compliance: Focus on Your Compliance Plan Now Or Pay Later
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Article Overview
This article explains why compliance plans have become a priority for health care providers amid heightened fraud and abuse enforcement, broader audit activity, and new federal compliance expectations. It is aimed at organizations, compliance staff, administrators, and health care counsel who need a high-level understanding of current compliance planning considerations, oversight trends, and the role of internal self-monitoring.
Why This Topic Matters
Providers and organizations facing Medicare, Medicaid, and other government oversight need to understand why compliance plans are being emphasized now and how they fit into a broader anti-fraud environment. The article helps readers assess whether their current compliance framework is current, documented, and ready for review by auditors or investigators.
What You Will Learn
- Why compliance plans are receiving increased attention in the current enforcement environment
- How compliance planning relates to internal oversight and self-auditing
- What types of government and contractor scrutiny are discussed in the article
- Why organizations may want to review or refresh existing compliance materials
- How compliance documentation can support an organization during review or investigation
Who Should Read This
- Health care providers
- Compliance officers
- Practice administrators
- Health care attorneys
- Billing and operations staff
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