Compliance Program Guidance

E193258

Compliance Program Guidance is a series of advisory documents that outline recommended standards and best practices for healthcare organizations to prevent, detect, and address fraud, waste, and abuse in federal health care programs.

All labels observed (2)

Label Occurrences
Compliance Program Guidance canonical 1
OIG Advisory Opinions 1

How this entity was disambiguated

Statements (45)

Predicate Object
instanceOf advisory document series ⓘ
health care compliance guidance ⓘ
aimsTo improve adherence to federal health care program requirements ⓘ
promote ethical conduct in health care organizations ⓘ
protect beneficiaries of federal health care programs ⓘ
reduce financial losses from fraud waste and abuse ⓘ
appliesTo health care plans ⓘ
health care providers ⓘ
health care suppliers ⓘ
organizations participating in federal health care programs ⓘ
characterizedAs best practice guidance for compliance programs ⓘ
non-binding recommendations ⓘ
describes elements of an effective health care compliance program ⓘ
emphasizes documentation of compliance activities ⓘ
leadership commitment to compliance ⓘ
ongoing evaluation of compliance program effectiveness ⓘ
risk-based compliance program design ⓘ
focusesOn Medicaid program compliance ⓘ
Medicare program compliance ⓘ
other federal health care benefit programs ⓘ
hasDomain federal health care programs ⓘ
fraud waste and abuse prevention ⓘ
health care compliance ⓘ
hasPurpose to help address abuse in federal health care programs ⓘ
to help address fraud in federal health care programs ⓘ
to help address waste in federal health care programs ⓘ
to help detect abuse in federal health care programs ⓘ
to help detect fraud in federal health care programs ⓘ
to help detect waste in federal health care programs ⓘ
to help prevent abuse in federal health care programs ⓘ
to help prevent fraud in federal health care programs ⓘ
to help prevent waste in federal health care programs ⓘ
to outline recommended standards for compliance programs ⓘ
recommends corrective action plans for identified compliance issues ⓘ
education and training on compliance requirements ⓘ
effective lines of communication for reporting compliance concerns ⓘ
enforcement of standards through disciplinary guidelines ⓘ
internal monitoring and auditing of compliance activities ⓘ
policies and procedures for compliance programs ⓘ
prompt response to detected offenses ⓘ
standards of conduct for health care organizations ⓘ
relatedTo federal program integrity requirements ⓘ
health care fraud and abuse laws ⓘ
supports development of internal compliance controls ⓘ
standardization of compliance practices across health care entities ⓘ

How these facts were elicited

Referenced by (2)

Full triples — surface form annotated when it differs from this entity's canonical label.

Office of Inspector General, U.S. Department of Health and Human Services → publishes → Compliance Program Guidance ⓘ
subject linked to: Office of the Inspector General
Special Fraud Alerts → relatedDocumentType → OIG Advisory Opinions ⓘ
linked to: Compliance Program Guidance