Compliance Program Effectiveness Assessments

  • Roz Cordini, JD, MSN, RN, CHC, CHPC

    Roz Cordini, JD, MSN, RN, CHC, CHPC

    Senior Vice President

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Navigating Healthcare Compliance: Strategies, Assessments, and Ongoing Support


Ensuring Effective Compliance Programs in Healthcare

Healthcare organizations, senior executives, and governing body members face increasing scrutiny to ensure effective compliance programs. In 2017, the Department of Justice (DOJ) outlined key considerations for investigating criminal fraud in healthcare. The guidance sheds light on how the DOJ assesses compliance program effectiveness.

OIG’s Fraud Risk Indicator: Assessing Risk in Healthcare Organizations

In 2018, the Office of Inspector General (OIG) introduced a “Fraud Risk Indicator” to gauge the risk level of organizations not opting for a Corporate Integrity Agreement (CIA) in federal healthcare programs. While having a compliance program doesn’t alter risk level, lacking an effective one labels the organization as “higher risk.”

 

Coker’s Comprehensive Compliance Evaluation and Support

Coker’s compliance team will conduct a thorough evaluation of your organization’s existing program against seven fundamental elements. We’ll provide recommendations for improvement and have the tools and resources to assist in implementation. Coker offers ongoing execution, support, and advisory services to enhance and maintain your compliance program’s effectiveness.

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    Contact us today for more information about our healthcare consulting services and learn how we can help your organization.

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