The former may rely more on central decisions, the latter more on training. Fourth, and finally, every organization must consider the people available to administer the efforts internally. The effort required to understand the complex health care billing laws and regulations may be overwhelming to someone who has no particular interest in the topic. The Board and the CEO must set the tone for the compliance program and the CEO should be an active participant. Managers and employees at all levels of the organization should be involved.
Effective oversight is critical to the effectiveness of the program.
Training and Education Key to an effective compliance program is ongoing training and education for managers and staff. Monitor Compliance Develop and utilize an effective ongoing monitoring and auditing process to detect noncompliance and inappropriate activities. Consider obtaining legal review of relevant laws and regulations and use this information to evaluate current practices. During the early stages of the compliance program it's important to find whether the organization is in compliance with the various rules and regulations and whether monies are owed back to the government. Lines of Communication Develop effective lines of communication for reporting violations and clarifying various policies and procedures.