Tip: When determining compliance policies and procedures, follow the OIG's guidance for compliance programs
Healthcare Auditing Weekly, July 29, 2008
The OIG’s supplemental guidance for hospitals recommends considering the following questions when reviewing compliance policies and procedures, including standards of conduct:
- Are policies and procedures clearly written, relevant to day-to-day responsibilities, readily available to those who need them, and reevaluated on a regular basis?
- Does the hospital monitor staff compliance with internal policies and procedures?
- Have the standards of conduct been distributed to all directors, officers, managers, employees, contractors, and medical and clinical staff members?
- Has the hospital developed a risk assessment tool, which is reevaluated on a regular basis, to assess and identify weaknesses and risks in operations?
- Does the risk assessment tool include an evaluation of federal healthcare program requirements, as well as other publications, such as the OIG’s Guidances, work plans, special advisory bulletins, and special fraud alerts?
This tip is adapted from The Compliance Program Effectiveness Handbook. For more information about the book or to order your copy, visit HCMarketplace.
Comments
0 comments on “Tip: When determining compliance policies and procedures, follow the OIG's guidance for compliance programs ”
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Medicare Weekly Update
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Medicare Update for Physician Services
Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...
Most Popular
- Articles
-
- HIPAA Q&A: Level of encryption needed for email
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Q&A: Acute respiratory failure diagnosis does not require intubation
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Oxygen Cylinder Storage Requirements
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Searched