tci Medicare Compliance & Reimbursement - 2012 Issue 7
Follow OIG Compliance Plan Guidance Step By Step
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Article Overview
This short article summarizes the HHS Office of Inspector General’s guidance on the basic components of an effective compliance plan. It is relevant to healthcare administrators, compliance officers, billing and coding teams, and practice managers who want a high-level checklist of the governance, training, communication, auditing, and corrective-action areas covered in the guidance.
Why This Topic Matters
Compliance programs help organizations reduce legal and regulatory risk and build a structured approach to detecting and responding to problems. This overview is useful for readers evaluating whether their current compliance framework addresses the major areas emphasized by HHS OIG.
What You Will Learn
- The major elements commonly included in a healthcare compliance plan
- How compliance guidance is organized at a high level
- Why training, communication, auditing, and corrective-action processes are part of compliance program design
- Who should be involved in overseeing and maintaining a compliance program
Who Should Read This
- Healthcare compliance officers
- Practice administrators
- Medical billing and coding teams
- Healthcare attorneys
- Revenue cycle managers
- Clinic and hospital leadership
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