Representative List of Types of Compliance Related Policies for Most Healthcare Organizations
|
Advanced Beneficiary Notice |
HIPAA Privacy & Security |
|
Auditing & Monitoring |
Identification of Overpayments and Re-payment Obligations |
|
Charity Care |
Internal Investigations |
|
Coding |
Language Services |
|
Conflict of Interest |
Non-retaliation / Non-retribution |
|
Compliance Hotline |
Patient Rights |
|
Compliance Program Structure |
Patient Transfer Between Facilities |
|
Contracting Authority |
Policies addressing Regulatory Requirements (e.g., FCA, EMTALA, AKS, CMP, Stark Law) |
|
Corrective Action Plans |
Policy on Policies |
|
Credentialing & Privileging |
Records Management & Retention |
|
Department /High Risk Area Specific |
Response to Regulatory Accreditation Surveys |
|
Designated Medical Record |
Response to Government Investigations |
|
Discounting Services |
Risk Assessment |
|
Documentation /Medical Necessity |
Root Cause Analysis |
|
Duty to Report |
Screening /Excluded Individuals |
|
Enforcement & Disciplinary |
Self-Reporting of Violations of Law/Regulation |
|
Financial |
Third-Party Relationships / Contract Review |
|
Fraud & Abuse |
Training & Education |
|
Gifts, Gratuities, & Business Courtesies |
Vendor Management |