Comprehensive Compliance Audits

The MedSafe Comprehensive Compliance Audit thoroughly reviews ownership arrangements, contracts, employment agreements, policies, and procedures to ensure everything is in order. Typically, practices conduct this audit before a practice acquisition. Moreover, every practice should perform this audit regularly as part of its Healthcare Compliance Auditing and Monitoring efforts.

Each practice should identify where it is most at risk of violating  state and federal fraud and abuse laws. In small practices, these risks are usually found in coding and documentation processes. Once these high-risk areas are identified, the practice must monitor its activities continuously to stay in compliance.

Cooperation with Auditors and Investigators

Your Compliance Committee may occasionally assign one or more employees to support Healthcare Compliance Auditing and Monitoring. All staff members must fully support these efforts.

Additionally, the organization sometimes brings in external auditors or investigators to evaluate the Compliance Program’s effectiveness. These experts may conduct broad reviews of regulatory compliance or focus on specific operational issues.

Even when no particular violation is under investigation, employees must cooperate fully with these reviews.

See more about working with external auditors from the Office of Inspector General.

 

Employee Feedback in the Auditing and Monitoring of the Compliance Program

 

Employees must play a central role in Auditing and Monitoring the Compliance Program. They should also feel comfortable expressing any concerns about training or communication related to the program. Likewise, if employees have confusion or questions about the Code of Conduct or Compliance Policies, they should speak up.

If employees have suggestions to improve communication or the Compliance Program itself, they should share them with their immediate supervisor or the Compliance Officer. However, if they do not feel comfortable talking to their supervisor, they should contact the Compliance Officer directly.

Feedback is of no use unless it reaches the Compliance Committee. Supervisors and managers must ensure that the comments they receive regarding the Compliance Program are routed to the Compliance Committee.

 
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