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Compliance

Health care is one of the most highly regulated industries in the United States. There is no area of the health care practice that doesn’t fall under the scrutiny of a regulatory body. Having a compliance plan can mitigate your risk.

A compliance program, which is recommended for all medical practices and clinical labs, is a comprehensive program to prevent and detect violations of law or policy. It comprises a number of important functions including:

  • Defines expectation for employees for ethical and proper behaviors when conducting business
  • Demonstrates the organization’s commitment to “doing the right thing”
  • Encourages problems to be reported
  • Provides a mechanism for constant monitoring

The Office of Inspector General (OIG) has substantial guidance on the implementation of a compliance program. The OIG website has other resources, including opinion letters, fraud alerts and open letters from the OIG to the health care industry.

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Resources

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