What is an Effective Compliance Program?

An effective compliance program fosters a culture of compliance within an organization and, at a minimum:

• Prevents, detects, and corrects non-compliance

• Is fully implemented and is tailored to an organization’s unique operations and circumstances

• Has adequate resources

• Promotes the organization’s Standards of Conduct

• Establishes clear lines of communication for reporting non-compliance

An effective compliance program is essential to prevent, detect, and correct Medicare non-compliance as well as fraud, waste, and abuse (FWA). It must, at a minimum, include the seven core compliance program requirements.