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In fact, 61% of the compliance teams from a Thomson Reuters report also work on long-range strategies for their companies by putting regulatory and legislative changes as a top priority. Compliance officers take on a more complex task such as the creation of medical compliance plans for their company’s long-term success.
Healthcare compliance is serious business for regulators. In this blog post, we’ll outline who regulates healthcare compliance, how rules are enforced, and why organizations need a robust compliance platform to stay in the good graces of regulators.
These programs help to promote lawful and ethical conduct within healthcare organizations and minimize the risk of legal violations, such as fraud, abuse, and other unethical behaviors. Why do healthcare facilities use corporate compliance programs? What is Corporate Compliance in Healthcare?
Thereafter, OIG said it planned to update existing industry-specific compliance program guidance (ICPG), which would include tailoring each to address fraud and abuse risk areas specific to a particular industry and describing the compliance measures that industry could take to reduce these risks [2].
The OIG’s work in this area serves as a critical guidepost for healthcare organizations to protect patients, foremost, and the healthcare providers themselves by keeping them on track for compliance. The OIG Compliance Work Plan identifies significant risks and areas that require attention within the healthcare system.
Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation.
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