Spring is a time for renewal. Cleaning out your home, refreshing your life and at work, reassessing your compliance program to ensure that it is operating effectively and efficiently. As federal and state governments continue to escalate enforcement across the board, now is the perfect time. It seems that we are emerging from the COVID-19 pandemic to a changed landscape for compliance programs– that have gone by the wayside, have fewer headcounts, less budget, or worse, all three.

The Office of Inspector General has published a new, interactive General Compliance Program Guidance (GCPG)1, including updates to the original documents that were published years ago.2 The expectation is that the government will follow this up with additional industry segment-specific compliance program guidance (ICPG) in the upcoming months. We anticipate that they will update ICPGs for each sector that is currently out there and add more.

Not only is it a great idea for you to assess your program internally, but I also suggest that you have an independent, third-party assessment of your internal program no less than every three to five years. The independent assessment offers you:

  • An unabridged review of your internal program by experts in the healthcare compliance field who can look at your program through an independent lens;
  • External assessments can provide your program with suggestions of best practices of what the entity has seen at other organizations;
  • Communication of the needs of your program by subject matter experts to your Board and Executive Leadership that is sometimes heard in a different way than when you communicate the same issues;
  • Evidence of your commitment to compliance if ever audited by a governmental entity; and
  • Overall suggestions for how to make your programs more effective and efficient.

What Ankura can bring to your organization:

  • A team of experts who have been in the compliance profession for over 20 years as in-house Chief Compliance Officers, Chief Privacy Officers, external Independent Review Organizations, and consultants;
  • Targeted, clear reporting that provides you with exactly what you need to do to not only achieve an effective and efficient compliance program but to also implement best practices;
  • Additional services that can support your program – we offer services that assist you in closing gaps, implementing your compliance program, and operationalizing every piece of the program; and
  • A variety of additional subject matter experts in billing, research, security, and many others that are both national and international.

Footnote

1. https://oig.hhs.gov/compliance/general-compliance-program-guidance/

2. https://oig.hhs.gov/compliance/general-compliance-program-guidance/

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.