Practice Management: Use These OIG Tips to Solidify Your 2015 Compliance Plan

Why This Topic Matters

A well-structured compliance program can help practices support ethical billing, reduce errors, and prepare for evolving federal enrollment requirements. For organizations that participate in Medicare or Medicaid, understanding the broad compliance framework is important for operational readiness and risk management.

Article Sections

1. Follow 7 tips to meet ACA requirements

   Introduces the article’s focus on preparing a practice compliance plan in light of ACA-related expectations and federal guidance. It frames the discussion around recommended program elements and implementation readiness.

2. Step 1: Write Policies and Procedures

   Covers the role of written compliance materials and the types of internal topics commonly included in a practice plan. It also emphasizes readability and staff awareness.

3. Step 2. Plan Continuing Oversight

   Describes ongoing program oversight and the roles of compliance leadership and committees. It addresses how internal governance supports day-to-day compliance management.

4. Step 3. Train and Educate Staff

   Discusses staff education as a core component of a compliance program. It highlights the use of training to reinforce expectations and awareness.

5. Step 4. Open Lines of Communication

   Explains the importance of accessible reporting channels for potential compliance concerns. It focuses on communication pathways that encourage staff to raise issues.

6. Step 5. Audit and Monitor the Plan

   Reviews the difference between routine monitoring and formal auditing in a compliance program. It also addresses common problem areas that organizations may watch for.

7. 6. Apply Consistent Discipline

   Covers internal discipline policies and the need for consistent handling of noncompliance. It emphasizes policy clarity and regular review.

8. 7. Implement Corrective Action

   Describes the final compliance-program step of responding to identified issues. It focuses on follow-through and remediation within the organization.

9. Resources

   Lists government and CMS-related resources that may help practices build or update compliance materials. It points readers toward external educational references and support tools.