• The Gist: Attorneys and consultants will want to look at a provider’s compliance systems and structure when defending or litigating cases involving healthcare organization wrongdoing.
By Angela L. Tobias, RN, BSN, MSHSA, LNCC
A successful compliance program must have appropriate oversight. Someone at the top of the organization must ensure that the compliance program is fulfilling its overall function of detecting and deterring fraud and abuse.
The Office of Inspector General (OIG) considers the oversight responsibility to land ultimately with an organization’s board of directors.
The board recognizes the need, and authorizes the launch and implementation of the organization’s compliance program. The federal sentencing guidelines are very clear…