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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.
Why do healthcare facilities use corporate compliance programs? We’ll answer that question in this blog along with assessments of a good corporate compliance process. What is Corporate Compliance in Healthcare? Monitoring and Auditing: Monitor for adherence to policies and regulations.
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.
A healthcare compliance audit is a systematic and objective evaluation of an organization’s adherence to various regulations, laws, internal policies, and procedures. These audits are often more stringent and can result in fines and other penalties if non-compliance is found.
Providers need a strong compliance program to inform the creation of compliance checklists. The Seven Core Compliance Program Requirements The Centers for Medicare & Medicaid Services (CMS) criteria promote an effective compliance program in healthcare organizations.
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