Healthcare organizations, senior executives, and governing body members are under increasing scrutiny to ensure they have an effective compliance program.
An effective compliance program incorporates the seven fundamental elements as outlined in the Federal Sentencing Guidelines, is operationalized, and ensures that healthcare organizations and physician practices adhere to the following guidelines:
Compliance programs are mandatory for hospitals, health systems, and physician groups, and the costs of noncompliance are high. These include recoupment of overpayments, self-disclosures, fines, penalties, reputational harm, negative publicity, exclusion from Medicare/Medicaid, and potential individual liability.
We can help your organization develop an individualized, meaningful compliance program that addresses relevant risk areas in your sector and is consistent with the OIG GCPG and DOJ Compliance Program guidance.