Back to Basics: Eight Essentials of Healthcare Contract Compliance
The primary goals of an effective compliance program are to prevent and detect noncompliance and enhance business processes and decision-making. The core elements of an accepted compliance program include:
- Compliance officer and program oversight.
- Policies and procedures.
- Corrective actions to identified problems.
- Open communications.
- Enforce violations.
Both these goals and the elements of your compliance program may span many different areas of responsibility depending upon the type and size of your organization. However, something that does not differ is the high regulatory risk associated with certain functions, such as coding or billing and contracting.
MediTract recommends that your organization’s contracting best practices become an integral component of your compliance efforts. These core elements listed above are applicable to all the recommended best practices for managing this high-risk area.
Many of our clients (more than one of out every four hospitals in the country) learn that by applying best practices to their contracting efforts they not only proactively manage a high-risk area, but also achieve operational efficiencies, which are critical to the core missions of their organizations.
In this e-book, we will outline the eight essentials to healthcare contract compliance, including:
- Who is responsible for compliance.
- What are they saying.
- How are contract compliance requirements being enforced.
- What are the specific elements of contract compliance.
- What are industry best practices to emulate for contract compliance.
- What are compliance areas to focus on for contracting.
- What are the risks of noncompliance.
- How can my organization gain access to contract compliance guidance.