The Hospital Compliance Program provides regulatory oversight and education to ensure legal and ethical standards of conduct. The program is designed to reduce the potential for fraud and abuse in hospital coding and billing programs. It also ensures multi-regulatory requirements are met that impact hospital and hospital-based licensed venues such as interactions with vendors, EMTALA and other regulatory mandates.
The Program meets these goals through:
- Regulatory Oversight
- Policy and Procedure Development
- Auditing and Monitoring
- Plan development/Corrective Action
- Hospital Compliance also serves as the Hospital Liaison for external reviews