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Corporate Compliance

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) is focused on protecting the federal healthcare programs from fraud, waste, and abuse. According to the OIG, an effective healthcare compliance program must, at the very least, address the following seven core elements to ensure compliance:

  1. Implementing written policies, procedures, and standards of conduct.
  2. Designating a compliance officer and compliance committee.
  3. Conducting effective training and education.
  4. Developing effective lines of communication.
  5. Conducting internal monitoring and auditing.
  6. Enforcing standards through well-publicized disciplinary guidelines.
  7. Responding promptly to detected offenses and undertaking corrective action

Our Corporate Compliance Solutions include:

  • Customized Compliance Policies & Procedures and Code of Conduct
  • We help you implement a Compliance Program to include:
    • Designation of a Compliance Officer
    • Creation of a Compliance Committee
    • Development of a Compliance Manual to guide your compliance program.
  • Exclusion List Monitoring – LEIE and SAM
  • Compliance Hotline Implementation
  • Workforce training and education including but not limited to topics such as:
  • Fraud, Waste and Abuse
  • Stark Law (Physician Self-Referral Law)
  • The Anti-Kickback Statute
  • Civil False Claims Act
  • Sunshine Act
  • Criminal Fraud & Health Care Fraud Statute
  • Managing Your Financial Relationships
  • Incident-to Rule (Non-Physician Practitioner Billing)
  • Marketing and Agent Practices
  • General Compliance