CCP_HCA580 - CORPORATE COMPLIANCE PROGRAMS ESSENTIAL TOOLS FOR FINANCIAL SURVIVAL IN HEALTHCARE How Can Your Organization Achieve Corporate

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CORPORATE COMPLIANCE PROGRAMS ESSENTIAL TOOLS FOR FINANCIAL SURVIVAL IN HEALTHCARE
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How Can Your Organization Achieve Corporate Compliance? By developing, instituting and following a corporate compliance program (CCP) A CCP is a formal, organizational-specific, and organization-wide initiative designed to uncover, prevent, and eliminate inappropriate activity in your healthcare organization With a CCP, a facility will be able to detect fraud and abuse and might receive a less severe penalty if the OIG discovers fraud or abuse
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Benefits of a Compliance Program concretely demonstrate to employees and the community the hospital’s strong commitment to honest and responsible provider and corporate conduct provide a more accurate view of employee and contractor behavior relating to fraud and abuse identify and prevent criminal and unethical conduct
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Benefits, con’t tailor a compliance program to a hospital’s specific needs improve the quality of patient care create a centralized source for distributing information on health care statutes, regulations and other program directives related to fraud and abuse and related issues develop a methodology that encourages employees to report potential problems
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Benefits, con’t develop procedures that allow the prompt, thorough investigation of alleged misconduct by corporate officers, managers, employees, independent contractors, physicians, other health care professionals and consultants initiate immediate and appropriate corrective action
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Benefits, con’t through early detection and reporting, minimize the loss to the government from false claims, and thereby reduce the hospital’s exposure to civil damages and penalties, criminal sanctions and administrative remedies, such as program exclusion
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How to Create a Compliance Program The government (OIG) has released a model for a corporate compliance plan for hospitals and other types of healthcare facilities Seven elements of an effective compliance program were outlined
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Model Compliance Plans intended to assist providers in developing effective internal controls to assure regulatory adherence set of guidelines, not “ready-made” program government has developed plans for laboratories, hospitals, home health agencies, third-party billing companies, managed care, DME companies
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This note was uploaded on 05/09/2011 for the course HCA 580 taught by Professor Hazelwood during the Spring '11 term at University of Louisiana at Lafayette.

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CCP_HCA580 - CORPORATE COMPLIANCE PROGRAMS ESSENTIAL TOOLS FOR FINANCIAL SURVIVAL IN HEALTHCARE How Can Your Organization Achieve Corporate

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