Compliance: Are You Up to Speed on Compliance Rules and Regulations?

Why This Topic Matters

The article helps practices recognize areas where outdated policies, weak documentation, or contract misunderstandings can create compliance exposure. It is useful for identifying whether internal procedures, training, and billing workflows need review.

Article Sections

1. Know Whether to Screen New Staff members

   Discusses workplace drug screening considerations for medical practices, including timing, follow-through, morale, cost, and the role of legal counsel.

2. Update Your Compliance Plans

   Reviews why a pre-written compliance plan may be insufficient and emphasizes tailoring, operational integration, and training within a compliance program.

3. Know the Codeable Services

   Covers prescription-related coding and documentation as well as the connection to quality reporting considerations.

4. Identify Conflicts of Interest

   Outlines general elements of a conflict-of-interest policy, disclosure process, annual review, and management responsibility.

5. Know Your Contracts

   Addresses payer contract compliance, claim submission expectations, and collection practices tied to deductible and allowable amount issues.