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Will your compliance plan pass the effectiveness test?

L A Fogel1

  • 1Baird, Kurtz & Dobson, Kansas City, Missouri, USA.

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|August 1, 2000
PubMed
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A dynamic healthcare compliance plan, regularly reviewed and followed, ensures adherence to federal and state laws. Regular audits and internal reviews are crucial for effective compliance management.

Area of Science:

  • Healthcare Management
  • Regulatory Compliance
  • Organizational Auditing

Background:

  • Healthcare organizations must navigate complex federal and state laws and regulations.
  • Effective compliance plans are essential for mitigating legal and financial risks.
  • Guidance from the Department of Justice and Office of Inspector General is critical for hospitals.

Purpose of the Study:

  • To emphasize the importance of a dynamic and regularly updated healthcare compliance plan.
  • To guide healthcare financial managers on essential components of compliance programs.
  • To recommend a structured approach to auditing and revising compliance plans.

Main Methods:

  • Reviewing criteria for compliance plans from the Department of Justice and Office of Inspector General.

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  • Recommending internal examinations of compliance plans prior to independent audits.
  • Highlighting the need to assess adherence to and documentation of compliance actions.

    • Main Results:

    • Organizations with dynamic, regularly reviewed, and followed compliance plans demonstrate higher adherence to laws.
    • Internal examination is vital for identifying areas of non-compliance and necessary revisions.
    • Documenting actions taken to fulfill compliance requirements is a key component of an effective plan.

    Conclusions:

    • A proactive and adaptive compliance strategy is fundamental for healthcare organizations.
    • Regular internal and independent audits are necessary to ensure ongoing legal and regulatory adherence.
    • Continuous improvement and documentation strengthen the effectiveness of healthcare compliance programs.