Compliance

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Health care is one of the most highly regulated industries in the United States. There is no area of the health care practice that doesn’t fall under the scrutiny of a regulatory body. Having a compliance plan can mitigate your risk.

A compliance program, which is recommended for all medical practices and clinical labs, is a comprehensive program to prevent and detect violations of law or policy. It comprises a number of important functions including:

  • Defines expectation for employees for ethical and proper behaviors when conducting business
  • Demonstrates the organization’s commitment to “doing the right thing”
  • Encourages problems to be reported
  • Provides a mechanism for constant monitoring

The Office of Inspector General (OIG) has substantial guidance on the implementation of a compliance program. The OIG website has other resources, including opinion letters, fraud alerts and open letters from the OIG to the health care industry.

Questions? Contact Ruth Cornwall.

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