Corporate Compliance

Auditing against the OIG’s Compliance Program Guidance for Hospitals

Healthcare Auditing Weekly, March 7, 2006

This week, we will continue our discussion of auditing against the OIG's Compliance Program Guidance for Hospitals with a breakdown of steps for verifying compliance committee responsibilities. Determine whether the committee

  • analyzes the organization's industry environment, the legal requirements with which it must comply, and specific risk areas

  • assesses existing policies and procedures that address these areas for possible incorporation into the compliance program

  • works with appropriate hospital departments to develop standards of conduct and policies and procedures to promote compliance with the institution's program

  • recommends and monitors, in conjunction with relevant departments, the development of internal systems and controls to carry out the organization's standards and policies and procedures

  • determines the appropriate strategy/approach to promote compliance with the program and detection of any potential violations, such as through hotlines and other fraud-reporting mechanisms

  • develops a system to solicit, evaluate, and respond to complaints and problems

      The above tip is an excerpt from the book "Hospital Auditing and Monitoring: Sample Programs for Key Risk Areas." Copyright 2004 by HCPro, Inc. This book is a step-by-step, practical manual that offers sample audit programs for the most troublesome areas that a hospital must audit. The binder and CD-ROM are filled with actual audit programs used by auditors and compliance officers in the field. Click here for more information or to order your copy today.

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