Compliance Program Effectiveness Evaluations
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) and other regulatory bodies have called for health care organizations to regularly demonstrate and evidence their compliance programs’ effectiveness. The OIG recommends that organizations incorporate independent reviews and compliance program effectiveness evaluations into their regular compliance operations to identify gaps and deficiencies in the compliance program. These evaluations can also evidence that the compliance program covers all seven elements of an effective compliance program outlined by the OIG, and track key metrics that show compliance program effectiveness.
To prevent compliance incidents and provide adequate proof of compliance effectiveness, Compliance Officers should work with an independent organization to conduct objective compliance program evaluations. Strategic Management has over 26 years of experience in the health care compliance industry, and offers high-quality effectiveness evaluations to help organizations evidence their compliance programs’ effectiveness.
If you are seeking a firm to provide an independent compliance program effectiveness evaluation and would like to speak with a compliance consultant, please call (703) 683-9600 or fill out our online contact form. One of Strategic Management’s experienced consultants can discuss your organization’s needs and suggest unique strategies that can help show that your health care compliance program is effective.
Strategic Management Has Proven Expertise with Corporate Compliance Programs
Strategic Management is highly experienced in designing, implementing, evaluating, and enhancing compliance programs for health care entities. Under the leadership and direction of Chief Executive Officer (CEO) and President, Richard P. Kusserow, former Inspector General, Strategic Management has designed, developed, managed, reviewed, and enhanced effective compliance programs in health care for more than 3,000 organizations and entities in the industry over the last 26 years. Strategic Management has worked with organizations of all sizes and types, including hospitals, managed care organizations, insurance companies, physician practices, SNFs, DME supply companies, and clinical and imaging laboratories. With this wide range of experience, Strategic Management is a proven industry leader in providing compliance program effectiveness evaluations for a variety of health care organizations.
Strategic Management’s compliance program evaluations include a baseline analysis of the compliance program to establish its current status and needs. We perform our evaluations using our comprehensive compliance program evaluation protocol that includes 160 factors drawn from the U.S Sentencing Commission Guidelines, OIG compliance guidance, JCAHO, as well as overlapping requirements from HIPAA. Strategic Management certifies that we conduct our compliance effectiveness evaluations in accordance with the independence and objectivity guidelines of the Generally Accepted Government Audit Standards (GAGAS) of the Government Accountability Office (GAO). The results of Strategic Management’s evaluation will include a fully certified report of findings, as well as recommendations for corrective or remedial action.
Connect with a Compliance Consultant to Learn More About Our Compliance Evaluations and Reviews
Strategic Management’s consultants have years of experience working with both private and public sector health care organizations. Contact an expert consultant today to discuss your organization’s needs and to learn how Strategic Management can help your organization meet or maintain compliance regulations. Call us at (703) 683-9600 or fill out our online contact form today.
Related Resources for Compliance Program Effectiveness Evaluations
The following articles provide additional information regarding health care compliance program effectiveness evaluations:
- Health Care Data Analysis and Analytics — Friend or Foe?
- Taking Control of the CMS Managed Care Audit Process
- New Charging Guidelines Underscore the Importance of Cooperation and Evidencing Program Effectiveness
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