To keep matters organized and away from clutter, health care institutions should concentrate on setting up an effective compliance program development plan. The program is broad, and thus, requires extensive planning and coordination. So, this gives rise to question as in where to begin from. In fact, you should begin by drafting a checklist of all necessary factors required. According to professionals in health care institutions, there are six vital steps involved in drafting an effective compliance program development plan.
1. Employing A Compliance Office and Committee
It is very necessary that someone should be present to take charge of operations of the compliance program development. A professional compliance officer and compliance committee should be designated to develop, operate and monitor the program.
2. Effective Means of Communication
The appointed compliance officer must establish and maintain thorough communication with all employees. This can also be implemented by using simple processes such as hotline, feedback through email and other communication modes.
3. Documenting and Maintaining Records
One of the most important requirements of compliance program development is to have strong medical billing procedures. The compliance committee and officer should establish and employ a thorough system that ensures detailed and precise documentation of all medical records. This should also include practices and policies of service records, privacy concerns, employee retention and destruction of records.
4. Training Staff at all Levels
The compliance committee should also train its employees including physicians, facility personnel and managers at all levels as per their ages and learning styles. While training, the compliance committee should ensure using unique teaching methodologies. Through trainings, the employees should be taught accurate documentation of financial and clinical records, standard of conduct, duty to report misconduct, prohibition on referral payments, compliance with Medicare requirements and residents' rights.
5. Internal Controls
It is very important to identify and grab hold of problems before they multiply. The compliance should monitor its developmental program through continuous evaluation including periodic compliance audit by external or internal evaluators. The audit process should be undertaken keeping in view expertise in State and Federal requirements.
6. Assessing Effectiveness of the Program
The compliance committee should make sure that the plan is assessed periodically. Assessment should also review the practical realization of the program. This would definitely help to evaluate the day to day operations of the facility. Also, many times several issues come up while audit is conducted. There are different problems that need individual examination. If a similar issue rises repeatedly, the compliance committee should review it and take appropriate action immediately.
1. Employing A Compliance Office and Committee
It is very necessary that someone should be present to take charge of operations of the compliance program development. A professional compliance officer and compliance committee should be designated to develop, operate and monitor the program.
2. Effective Means of Communication
The appointed compliance officer must establish and maintain thorough communication with all employees. This can also be implemented by using simple processes such as hotline, feedback through email and other communication modes.
3. Documenting and Maintaining Records
One of the most important requirements of compliance program development is to have strong medical billing procedures. The compliance committee and officer should establish and employ a thorough system that ensures detailed and precise documentation of all medical records. This should also include practices and policies of service records, privacy concerns, employee retention and destruction of records.
4. Training Staff at all Levels
The compliance committee should also train its employees including physicians, facility personnel and managers at all levels as per their ages and learning styles. While training, the compliance committee should ensure using unique teaching methodologies. Through trainings, the employees should be taught accurate documentation of financial and clinical records, standard of conduct, duty to report misconduct, prohibition on referral payments, compliance with Medicare requirements and residents' rights.
5. Internal Controls
It is very important to identify and grab hold of problems before they multiply. The compliance should monitor its developmental program through continuous evaluation including periodic compliance audit by external or internal evaluators. The audit process should be undertaken keeping in view expertise in State and Federal requirements.
6. Assessing Effectiveness of the Program
The compliance committee should make sure that the plan is assessed periodically. Assessment should also review the practical realization of the program. This would definitely help to evaluate the day to day operations of the facility. Also, many times several issues come up while audit is conducted. There are different problems that need individual examination. If a similar issue rises repeatedly, the compliance committee should review it and take appropriate action immediately.
