HEALTHCARE COMPLIANCE

Mandatory Compliance Programs

Section 6401(a)(7) of the Act requires providers and suppliers enrolled in federal healthcare programs to create and maintain compliance programs as a condition of their continued participation.

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Through experience, the OIG has identified 7 fundamental elements to an effective compliance program. They are:

• Implementing written policies, procedures and standards of conduct;

• Designating a compliance officer and compliance committee;

• Conducting effective training and education;

• Developing effective lines of communication;

• Enforcing standards through well publicized disciplinary guidelines;

• Conducting internal monitoring and auditing; and

• Responding promptly to detected offenses and developing corrective action.