Corporate Compliance

Tip: Conducting a limited investigation

Compliance Monitor, November 4, 2009

Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!

Internal investigations will not always lead to a million dollar settlement conducted in an attorney-client procedure. Sometimes, a more limited investigation of a problem is appropriate for your facility. Remember that any employee complaint, based on credible allegations, deserves an investigation. Even investigations that do not identify a problem improve your ability to demonstrate that your compliance function is effective. If a non-compliance issue requires a milder approach to the investigation, follow these rules:
 
  • Along with a limited review, conduct a probe audit to learn more about alleged issues
  • Address any overpayments revealed, if applicable
  • Consider implementing new policies and procedures and conduct further training
  • Review your organization’s potential obligations under the Sarbanes-Oxley Act to report problems involving publicly funded companies
  • Document your efforts to bring the provider into compliance
This week’s tip was adapted from the Internal Investigations Handbook. For more information about the book or to order your copy, visit the HCMarketplace.



Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!

    Strategies for Health Care Compliance

  • Strategies for Health Care Compliance

    News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...

  • Mammography Regulation and Reimbursement Report

    Comply with FDA regulations and interpret the Mammography Quality Standards Act with Mammography Regulation Report.

  • Compliance Monitor

    This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...

  • Laboratory Compliance Insider

    Each month with Laboratory Compliance Insider you get more of our exclusive working tools: model guidelines, policies...

  • Medicare Weekly Update

    Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...

Most Popular

Related Articles