It’s that time of year again. Time to brush the dust off your Compliance Plan and make sure you are monitoring the right areas and make sure you Plan reflects any process changes made in 2016. Of course, best practice is to routinely review the Compliance Plan and update as needed but just in case, let’s review some basic steps you can take to update your Compliance Plan today.Read More
It's time again
Each fall the OIG releases its Annual Work Plan for compliance so healthcare organizations can get an idea of the status of items from the year before as well as a roadmap of what areas and specific items the OIG will focus its efforts in the next year.Read More
Effective compliance planning is demonstrated and driven by outcome.
The most important step in creating an effective compliance plan for your organization is to be proactive in actually implementing its terms. Leaving a compliance plan on a shelf collecting dust, as if an afterthought, sends the wrong message to prosecutors especially if an audit of your organization should find any excluded individuals or entities, or other non compliance.
The first steps towards compliance are having a plan in place. In some respects, that is the easy part. Not only is it required to have a compliance plan in some fields of healthcare, but it is also a building block for an organization’s compliance success.
This just goes to show it's not just words on paper, but it is a document outlining how you will be held responsible for adhering to its terms. Not adhering to its terms can lead to a forced Corporate Integrity Agreement (CIA) with the OIG along with hefty fines.Read More
Every year the OIG publishes its Work Plan. The plan is the single best source for a compliance officer to focus on since it outlines what and how the OIG will focus its enforcement efforts in 2015.
The OIG released the 2015 Work Plan on its site. We have read through it and can summarize the new initiatives that the OIG will focus on with regard to exclusion and fraud and abuse enforcement, by industry sector:
In particular, there are a few items that relate to studies and focus on eligibility and screening that this blog will address in more detail.