Textbook of Urgent Care Management: Chapter 37, Setting Up a Health-Care Compliance Progam
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About this ebook
Chapter 37 includes:
2010 Health Care Reform
Published Guidances on Compliance Programs
Risk Assessment
Compliance Program Components
- Written Standards, Policies, and Procedures
- Compliance Officer and Compliance Committee
- Training and Education
- Open Lines of Communication
- Monitoring and Auditing
- Enforcement and "Publicized" Guidelines
- Response and Corrective Action Regarding a Detected Offense
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Textbook of Urgent Care Management - Tracy Patterson
CHAPTER 37
Setting Up a Health-Care Compliance Program
Tracy Patterson
from
CHAPTER 37
Setting Up a Health-Care Compliance Program
Tracy Patterson
DOES YOUR URGENT CARE center need a compliance program? Yes. Until a few years ago, the development and implementation of a compliance program was voluntary. With the Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010 (2010 Health Care Reform), however, Congress mandated that providers, suppliers, and physicians adopt a compliance program. Even without the 2010 Health Care Reform’s requirements, having an effective compliance program is just smart business. As a leader of your organization, you, along with others, should ensure that processes are in place to guide and support proper conduct. A compliance program doesn’t automatically guarantee that all fraud or abuse will be eliminated, but an effective program will establish an environment that promotes prevention, detection, and resolution of misconduct, thereby reducing your risk for both.
Implementing and maintaining a compliance program requires a significant commitment of your organization’s time and resources. Your program should match the size