Are Healthcare Compliance Programs Necessary

The healthcare compliance program is a mandatory requirement found in the Patient Protection and Affordable Care Act (PPACA). A Healthcare provider should apply for the compliance program to enroll as a Medicare provider. For organizations operating in healthcare, they should consider the Fox Group to help them meet these obligations. The company has healthcare compliance experts with practical experience gained from providing direct operations.

A compliance program should be practical, and the Fox Group can make this happen for a healthcare organization to comply with the requirements. The office of Inspector General of the federal department of health and human service highlights the constituents of a compliance program. These elements include educating staff and conducting appropriate training, development of open lines of communication, conducting internal monitoring and auditing, designating a compliance officer or a contact person, development and implementation of compliance program policies and procedures, appropriate response to detected offenses and developing corrective actions and creation of publicized guidelines to enforce disciplinary standards.

When an organization works with the Fox Group, the company recommends additional compliance in the plan to enhance the organization’s ability to integrate the federal requirements seamlessly for proper management. The areas to be covered include confidentiality, hiring practices, professional courtesy discounts for services, documentation and medical necessity, medical records retention and business environmental concerns, employees’ rights, obligations and safety, patients’ rights, compliance risk evaluation, billing compliance, and healthcare insurance.

A Code of Ethical Conduct is also a necessary document for healthcare organizations to ensure all staff members conduct themselves appropriately within the organization. The Fox Group, a healthcare compliance plan consultant, can assist healthcare organizations in complying with this program. The company helps them develop and implement compliance program policies and procedures. Besides, the professional experts provide coding and documentation audit services.

Some Healthcare organizations may be required to implement compliance activities by a Corporate Integrity Agreement (CIA). This agreement has the same element requirements as voluntary compliance programs. The only difference is that the Corporate Integrity Agreement compliance program is mandatory, requiring the health organization to give annual reports. These organizations will also need compulsory external auditing known as the Independent Review Organization. Apart from offering healthcare compliance program guidelines, the Fox Group provides Independent Review Organization services, annual reporting, employee training, and program development.