Compliance Programs: What Are They? – Review of Ophthalmology

Optional for now, compliance programs are a part of the ACA. Here are steps to develop a program before they’re mandatory.

This article answers the following questions:

  • What is the Office of Inspector General compliance program for physician practices, and are all physician practices required to have a formal compliance program?
  • Who will establish the mandatory guidelines and set the implementation date?
  • What is involved in developing a compliance program?
  • Do guidelines exist to assist with developing a program?
  • What are the core elements in the OIG guidance document?
  • What is involved in auditing, and how extensive does the audit need to be?
  • Who should do these internal audits?
  • What is the role and responsibility of a compliance officer?
  • How does the compliance officer check the OIG’s list of Parties Debarred from Federal Programs?
  • Are there any benefits to having a voluntary compliance program while waiting for mandatory implementation?

This article was published in Review of Ophthalmology’s Medicare Q & A column, which is written by Corcoran’s Vice-President, Donna McCune, CCS-P, COE, CPMA. To view the entire article in Review of Ophthalmology, click on the link below:

See page 16.

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