Back to Basics: Eight Essentials of Healthcare Contract Compliance

Posted By:

Bret S. Bissey, MBA, FACHE, CHC, CMPE

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.• Education.• Audit.• 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:

1. Who is responsible for compliance.

2. What are they saying.

3. How are contract compliance requirements being enforced.

4. What are the specific elements of contract compliance.

5. What are industry best practices to emulate for contract compliance.

6. What are compliance areas to focus on for contracting.

7. What are the risks of noncompliance.

8. How can my organization gain access to contract compliance guidance.

For more information visit http://www.meditract.com/resource-center/some-thoughts-on-tone-at-the-top/

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