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A practical guide to creating compliance programs.

J N Hatch1, F Tabrah

  • 1Straub Clinic and Hospital, Inc., Honolulu, HI, USA.

Caring : National Association for Home Care Magazine
|September 4, 1998
PubMed
Summary
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Home care agencies face increased government scrutiny for health care fraud and abuse. Proactive preparation ensures agencies can successfully navigate investigations and maintain compliance.

Area of Science:

  • Health Care Administration
  • Regulatory Compliance
  • Fraud Detection

Background:

  • Home care agencies are increasingly subject to government oversight.
  • Detecting and preventing health care fraud and abuse is a major focus for regulatory bodies.
  • Agencies of all sizes must prepare for potential investigations.

Purpose of the Study:

  • To inform home care agency owners about upcoming government fraud and abuse detection efforts.
  • To provide guidance on how to prepare for and manage health care investigations.
  • To ensure agencies can achieve satisfactory outcomes during investigations.

Main Methods:

  • Analysis of current government initiatives targeting health care fraud.
  • Review of common fraud and abuse schemes in the home care sector.

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  • Development of best practices for agency preparedness and response.

    • Main Results:

    • Government enforcement actions regarding health care fraud are intensifying.
    • Proactive preparation significantly mitigates risks associated with investigations.
    • Agencies that implement robust compliance measures are better positioned for successful outcomes.

    Conclusions:

    • All home care agencies must prioritize fraud and abuse prevention strategies.
    • Early and thorough preparation is crucial for navigating government investigations effectively.
    • Investing in compliance measures safeguards agency operations and reputation.