Compliance Program (7 Elements): Policy and Procedures Templates
Clear, comprehensive policies and procedures are the foundation of an effective healthcare compliance program.
What We Provide: We deliver a complete Policy & Procedure Manual with the 7 essential Policies and Procedures and a number of additional supporting documents. These documents: 1) Are intended to comply with Federal and State requirements. 2) Are written in clear language your staff can understand and follow. 3) Are delivered in Microsoft Word® format for easy editing and updating.
“Compliance policies and procedures should encompass…the implementation and operation of the entity’s compliance program, including the seven elements.”
Expert Compliance Guidance: Trust Our Experience
The 14 Core Documents
Our standard set of policies includes:
The 14 Compliance Program Policy and Procedure Templates offered in this compilation address each of the 7 Elements of a Compliance Program, as recommended and organized by the OIG in the 2023 “General Compliance Program Guidance” and include:
| Element of a Compliance Program as recommended by the OIG | Policy and Procedure and Additional Documents – to meet the requirements |
|---|---|
| Element I | — Implementation and Maintenance of the Code of Conduct — Compliance Program Policy and Procedure Development |
| Element II | — Compliance Program Oversight Obligations of the Board of Directors — Board of Directors Resolution for the Compliance Program — Compliance Program Oversight and Responsibilities — Compliance Committee Charter |
| Element III | — Compliance Education and Training |
| Element IV | — Reporting and Open Communications (Compliance Hotline) |
| Element V | — Enforcing Standards (Incentives and Consequences) |
| Element VI | — Risk Assessment, Auditing, and Monitoring — Identification and repayment of overpayments |
| Element VII | — Internal Investigations and Corrective Action — Exclusion Background Screening — Exclusion Background Screening Form |
How It Works
The detailed and comprehensive Compliance Program Policy and Procedure Templates are anchored in decades of hands on experience implementing Compliance Programs. They incorporate recommendations from a variety of foundational health care compliance industry resources such as CMS, HCCA, AHLA, OIG, and others.
Each Template can serve as a reference that captures the essential concepts, processes, and structures needed to successfully build each Program Element. The Templates are a guide for organizational decision making and play a critical role in formalizing your developing Compliance Program. By leveraging this resource, your organization can streamline development efforts – reducing the time, cost, and effort typically required in designing such materials on your own.
Pricing
• Initial Policy & Procedure Manual (14 documents): Starts at $5,900, depending on your organization’s size and complexity.
In addition, if you or your organization don’t have the time or are unclear about what needs to be done to review and implement your Compliance Program Policies and Procedures, and would like additional consulting services, hourly consulting fees will be offered at a discounted rate with the purchase of the Compliance Program Policy and Procedure Templates. Regular remote meetings can be scheduled to review each policy and procedure so further background and regulatory information can be provided to assist your organization in decision-making and to allow time to ask in-depth questions.
Compliance Program Policies and Procedures help to protect your organization from the significant financial and reputational risks of non-compliance.
