tci Medicare Compliance & Reimbursement - 2015 Issue 12
Compliance: Take OIG's 4 Steps On Your Path To Compliance
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Article Overview
This article explains an OIG guidance document aimed at healthcare governing boards and compliance leaders. It outlines the broad areas of board oversight, reporting, risk identification, and accountability emphasized in the guidance, along with why the publication matters for organizational compliance operations and governance.
Why This Topic Matters
It helps healthcare organizations and their boards understand the general expectations for compliance oversight, communication, and risk management in a regulatory environment.
Article Sections
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Does Your Organization Have a ‘Culture of Compliance’?
Introduces the compliance oversight guidance and explains its relevance to healthcare organizations and their boards. It also frames the article’s focus on governance, oversight, and organizational compliance culture.
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1. Define Roles & Relationships
Discusses how the guidance addresses the relationship among key organizational functions involved in compliance oversight. The section focuses on board-level expectations for defining responsibilities and coordination across departments.
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2. Institute Compliance Reporting to the Board
Covers expectations for regular compliance-related reporting to the board and the use of structured communication channels. It also describes board oversight practices that support ongoing dialogue with management.
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3. Identify & Audit Potential Risk Areas
Describes the general categories of compliance and operational risk highlighted in the guidance. The section also touches on internal and external sources used to identify issues for review.
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4. Encourage Accountability & Compliance
Summarizes the guidance’s emphasis on organizational accountability and maintaining compliance as an ongoing practice. It addresses broad approaches to reinforcing compliance behavior and communication across the enterprise.
What You Will Learn
- The general focus of OIG compliance oversight guidance for healthcare governing boards.
- How the article organizes board oversight topics into major compliance areas.
- What types of organizational functions and communication processes are discussed.
- Why risk identification and accountability are central themes in the guidance.
Who Should Read This
- Healthcare compliance professionals
- Healthcare governing boards
- Healthcare executives and administrators
- Healthcare attorneys
- Internal audit and compliance staff
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