A Compliance Program needs to do more than simply identify issues, it must correct them.
Regulators like the CMS Office of Inspector General and the Department of Justice views this as one of the best indicators a Compliance Program is real and effective. Uncorrected issues identified by the Compliance Program can lead to:
- Government investigations
- Whistleblower (qui tam) lawsuits
- Payer audits
- Licensing board complaints
Why designate to a third party?
Maintaining objectivity is essential when handling compliance issues, as is guaranteeing against retaliation. Passing through a third party easily accomplishes both.
What does the service include?
A root cause analysis (the five why’s) and a documented plan designed to prevent the reoccurrence of the issue. We will document:
- Date issue identified
- Investigation summary
- Root cause
- Corrective steps taken
- Follow-up monitoring result
All actions are presented to presented to the Compliance Committee and documented according to best practices, and regulatory guidelines.
Arizona Compliance Solutions 