Does your auditing and monitoring program meet the mark?

Ruth Krueger (ruth.krueger@sanfordhealth.org) is the Compliance Administrator for Sanford Health in Sioux Falls, SD, and Mary Jo Henne (mary.henne@sanfordhealth.org) is the Director of Compliance for Sanford Health in Bismarck, ND.

With the distribution of the HCCA and Health and Human Services Office of Inspector General (OIG) Measuring Compliance Program Effectiveness: A Resource Guide (HCCA/OIG Resource Guide), [1] we now have some great guidelines of their expectations of our auditing and monitoring (A&M) programs. Critical to a successful A&M program is knowing where audits or monitoring activities are needed, and using a well-defined process tool that helps identify several key components prior to starting an audit. To be able to cover all of the outlined expectations, we would need a book or at a least a full-day workshop to do it justice. This article will cover common sources of issues encountered during the process and offer ideas for enhancing your A&M program.

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