Craft A Medical Practice Compliance Program


[Accountability, Processes and Implementation]

Carol S. Miller RN MBA

Dr. David Edward Marcinko MBA

In general terms, healthcare entity or medical practice compliance is the organization’s adherence to rules, regulations, guidelines, and specifications relevant to performing its day-to-day operations.

This includes the observance of all applicable Medicare billing guidelines; state, local, and Federal regulations impacting the practice; ethical, privacy and security requirements; and the steps and processes to avoid potential fraud and abuse.

Due to the increasing number of regulations placed on medical practices and the need for operational transparency, provider offices are adopting the use of consolidated and harmonized sets of compliance controls to ensure that all necessary governance requirements can be met without unnecessary duplication of effort or too extensive processes that could take away from patient care.



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