Billing monitoring: Weakest link or greatest strength?

It is well known from the various compliance program guidance documents issued by the Department of Health and Human Services Office of Inspector General (OIG) that any effective compliance program must contain an internal auditing and monitoring element. Auditing and monitoring should address both the compliance program with its own operations as well as the compliance high-risk areas that impact operational areas.  Auditing and monitoring are crucial elements in establishing and maintaining an effective compliance program as well as a functioning system of internal controls.

About the Author

Dr. Cornelia M. Dorfschmid has over 30 years of private and government sector experience in health care compliance consulting, the majority of which was in management and executive capacities. She is a recognized expert in the areas of claims auditing, overpayment analysis and risk management and corporate health care compliance.