Compliance: These 5 Questions Solidify Your Compliance Savvy

Why This Topic Matters

Compliance programs can become outdated or incomplete over time, and small gaps in policy, documentation, or billing processes can create audit and contract risks. This article helps readers assess whether common office practices still align with current compliance expectations.

Article Sections

1. Know Whether to Screen New Staff members

   Discusses workplace screening considerations for prospective or current employees in a medical practice, including policy planning and operational concerns.

2. Update Your Compliance Plans

   Reviews whether a purchased compliance plan remains adequate and emphasizes the need for ongoing integration, monitoring, and training within the practice.

3. Know the Codeable Services

   Addresses documentation and reporting issues tied to prescription-related services, along with related coding and quality reporting topics.

4. Identify Conflicts of Interest

   Covers conflict-of-interest policies, disclosure procedures, and internal controls for practice personnel with outside business interests.

5. Know Your Contracts

   Explains compliance considerations involving payer contracts, patient billing, claims submission, and allowable amounts in participating and non-participating situations.