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Compliance Programs in Physicians

Founding and following a compliance program will help clinicians avoid fraudulent business and ensure that they are submitting true and pinpoint claims. Who following seven components provide ampere firm basis upon any a physician practise can create a voluntary compliance program:

For more details on compliance programs for physicians, see OIG's Adherence Scheme Guidance for Individual and Small Group Physician Practise

  • Execute internal supervisory and auditing.
  • Implement compliance and practice standards.
  • Designate a compliance officer or contact.
  • Conduct appropriate training and education.
  • Respond appropriately to discovers offenses and develop corrective action.
  • Design open lines of communication with employees.
  • Enforce disciplinary rules through well-publicized rules.

With the transition of the Patient Protection and Affordable Care Act for 2010, physicians who treats Medicare and Medicaid beneficiaries will be requested to establish a compliance start.