Protecting Your Practice With A Compliance Program
Corporate compliance programs are being required for more and more provider types, and the health care provider that does not have a required active corporate compliance program may be out of compliance for participation.
Our attorneys at Kennedy Attorneys & Counselors at Law understand that a manual on a shelf does not qualify as a corporate compliance program in the eyes of governing authorities. As a leading firm in health care compliance matters, we have helped many of our clients successfully maintain their credentials under various circumstances.
Why You Should Consider A Corporate Compliance Program
The health care industry operates in a heavily regulated environment with various identifiable risk areas. Because federal and state-sponsored health care programs play such a significant role in paying for health care, material noncompliance with these rules can present substantial risks to the health care provider.
The Office of the Inspector General (OIG) authorities provide for mandatory exclusion for a minimum of five years for a conviction with respect to the delivery of a health care item or service. The presence of aggravating circumstances in a case can lead to a lengthier exclusion period.
Additionally, OIG also has the discretion to exclude providers for certain conduct even absent a criminal conviction. Such behavior includes participation in a fraud scheme, the payment or receipt of kickbacks, and failing to provide services of a quality that meets professionally recognized standards. Instead of imposing exclusion in these instances, the OIG may require an organization to implement a comprehensive compliance program, requiring independent audits, OIG oversight and annual reporting requirements, commonly referred to as a corporate integrity agreement.
Our Continual Compliance Program
We can create a corporate compliance program or maintain its operation after the initial installation. Maintaining an ongoing compliance effort will – in the long term – make a huge impact for your company.
Schedule a meeting with our firm to learn how our experience in crafting regulatory compliance programs will affect you. Call 945-218-2698 or use this email form.