Corporate Compliance

Tip: Conduct regular self-assessments

Compliance Monitor, May 7, 2008

The OIG recommends hospitals complete an annual review of specific components of their compliance programs. The OIG suggests assessing programs using outcome-based indicators, such as billing and coding error rates, identified overpayments, and audit results. These annual reviews also should evaluate the underlying structures and processes of each element of the compliance system. Performing this step is essential to find mistakes that are difficult to detect when relying only on outcome-based indicators.
This tip was adapted from The Healthcare Compliance Professional’s Guide to the False Claims Act. For more information about the book or to order your copy, click here.


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