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An efficient healthcare compliance program is one where the result of your compliance plan achieves what your plan outlined. Remember that Medicare isn’t the only payer that wishes you to have a compliance program. Many state Medicaid units and commercial payers additionally require a compliance program. Some states require healthcare suppliers to have a compliance program, too, so organizations must know both their state and individual payer guidelines. Considering the ACA went into impact in 2010, the healthcare trade has had plenty of time to organize and get compliance applications in place. If your organization nonetheless has work to do, resources just like the 2014 CMS joint presentation with the OIG could help with designing your compliance program.
