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7 Elements of Effective Compliance Program

7 Elements of Effective Compliance Program. Guidelines issued by the Office of Inspector General for the suggested development of compliance programs. I ssued for Hospitals, Clinical Labs, Third Party Payers, DME Supply industry, Hospices and Physician Practices.

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7 Elements of Effective Compliance Program

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  1. 7 Elements of Effective Compliance Program • Guidelines issued by the Office of Inspector General for the suggested development of compliance programs. • Issued for Hospitals, Clinical Labs, Third Party Payers, DME Supply industry, Hospices and Physician Practices. • If implemented, reduces financial liability for institutions held accountable for employee misconduct

  2. 7 Elements Of Effective Compliance Programs OIG’s Compliance Program Guidances: • Written Standards of Conduct • Designating a Chief Compliance Officer and other appropriate bodies • Effective education and training • Audits and evaluation techniques to monitor compliance • Reporting processes and procedures for compliance • Appropriate disciplinary mechanisms • Investigation and remediation of systemic problems

  3. FGP Board’s Role in Billing Compliance • Meet with your Department Compliance Officer regularly to discuss billing compliance issues • Discuss Compliance issues at Department Faculty Meetings on a regular basis • Encourage faculty and staff to report any Revenue Cycle related compliance concerns to Revenue Cycle or UMHS Compliance

  4. Who you gonna call? • Call the Professional Billing office at 734-615-4037. • Contact the compliance officers collectively by e-mailing your concern to compliance-group@med.umich.edu. • Call the University of Michigan Compliance Hotline at 866-990-0111 • Submit a report online • https://www.tnwgrc.com/WebReport/default.asp?Clnt=UM&Type=UNIV

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