Employees whose management exemplifies a dedication to compliance are way more prone to take compliance critically, and leaders have the power to make compliance meaningful to individual workers via methods and techniques designed to guide and inspire efficiency. OIG steering repeatedly states that there isn’t any “one size fits all” strategy to compliance; quite, an efficient program is decided by an organization’s dimension, structure, and resources (OIG “Medicare”). See Resource List for links to OIG resources, including compliance program guidance.
Health Care Compliance Program Growth, Evaluation & Implementation
For potential legal violations, an entity might want to embrace procedures for referral or disclosure to the suitable authorities . For mere overpayments, the organization ought to have procedures for identification and remittance of improper payments. Identifying related scientific protocols, pathways, and treatment tips utilized by the provider. For potential felony violations, an entity may wish to include procedures for referral or disclosure to the appropriate authorities.