Compliance & RegulatoryQuestion 96 of 100
A compliance program in a medical practice is designed to:
a.Increase the number of claims denied
b.Eliminate the need for documentation
c.Set higher charges than competitors
d.Prevent and detect violations of law and promote ethical, accurate billing practices
Explanation
An effective compliance program establishes policies, training, auditing, and reporting mechanisms to help a practice follow coding, billing, and privacy laws and catch problems early. The OIG has published guidance outlining key elements of such programs. A strong compliance culture reduces the risk of fraud, abuse, and penalties.
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