Corporate Compliance

Auditing against the OIG’s Compliance Program Guidance for Hospitals

Compliance Monitor, May 24, 2006

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To see whether your facility correctly follows compliance guidelines, determine whether employees carry out the following:

  • If the compliance officer discovers credible evidence of misconduct that may violate criminal, civil, or administrative law, the hospital promptly contacts the appropriate government agency

  • The hospital reports the existence of misconduct to the government within a reasonable period of time -- not more than 60 days after determining that there is credible evidence of a violation

  • When reporting misconduct to the government, the hospital provides all relevant evidence to the alleged violation and potential cost impact

  • The hospital takes appropriate corrective action for any misconduct, including prompt identification and restitution of overpayments

      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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