What is a healthcare compliance program

the need for an effective compliance program for healthcare organizations transitioned from voluntary to mandatory with the requirement in the patient protection and affordable care act (ppaca) that healthcare providers applying to enroll as medicare providers have a compliance program in place. one of the keys to a compliance program is to make it truly effective, and we can help you to do that. the office of inspector general (oig) of the federal department of health and human services (hhs) recommends specifics about the components of a compliance program. the fox group recommends that some additional areas (listed below) be addressed in a healthcare compliance plan because their integration will shore up an organization’s ability to best integrate the federal requirements in a more systemic manner that will make adherence to required areas more manageable.

the fox group is uniquely qualified to assist medical practices and other healthcare organizations with developing and implementing compliance program policies and procedures. a corporate integrity agreement requires the same elements recommended for voluntary compliance programs, but makes them mandatory, with annual reporting, for the healthcare organization. the fox group provides iro services and can help with other healthcare compliance consulting such as program development, employee training, and annual reporting. …evaluations have consistently been excellent …knowledgeable, enthusiastic, very qualified and stimulating…(his) experience and expertise…an asset to our faculty.” “i would be pleased to recommend the consulting services of the fox group … your staff completed a comprehensive diagnostic process, substantial cost reductions, and a downsized, reorganized staff.” “we have worked with the fox group since the inception of our company.

the seven fundamental elements of an effective compliance program. 1. implementing written policies, procedures the purpose of compliance programs is to promote organizational adherence to applicable federal and state law, and private payer healthcare requirements. an effective compliance program can help protect practices against fraud, abuse, waste, and other potential liability areas. the purpose of a formal compliance plan is twofold: (1) it provides a blueprint for the practice’s compliance program and, healthcare compliance program sample, healthcare compliance program sample, healthcare compliance program policies and procedures, healthcare compliance examples, 7 elements of a compliance program. u’ The purpose of a compliance program is to promote the prevention of criminal conduct, enforce government rules and regulations, while providing quality care to patients. Compliance programs can help protect practices against improper payments, fraud and abuse, and other potential liability areas.Jul 6, 2016

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