General Compliance Program

Resource: List of Compliance Policies

By Litany Webster and Glena Jarboe[1]

Representative List of Types of Compliance Related Policies for Most Healthcare Organizations

Advanced Beneficiary Notice

HIPAA Privacy & Security

Auditing & Monitoring

Identification of Overpayments and Re-payment Obligations

Charity Care

Internal Investigations

Coding

Language Services

Conflict of Interest

Non-retaliation / Non-retribution

Compliance Hotline

Patient Rights

Compliance Program Structure

Patient Transfer Between Facilities

Contracting Authority

Policies addressing Regulatory Requirements (e.g., FCA, EMTALA, AKS, CMP, Stark Law)

Corrective Action Plans

Policy on Policies

Credentialing & Privileging

Records Management & Retention

Department /High Risk Area Specific

Response to Regulatory Accreditation Surveys

Designated Medical Record

Response to Government Investigations

Discounting Services

Risk Assessment

Documentation /Medical Necessity

Root Cause Analysis

Duty to Report

Screening /Excluded Individuals

Enforcement & Disciplinary

Self-Reporting of Violations of Law/Regulation

Financial

Third-Party Relationships / Contract Review

Fraud & Abuse

Training & Education

Gifts, Gratuities, & Business Courtesies

Vendor Management

 
1Litany Webster is a director of regulatory compliance and government relations. Glena Jarboe is a healthcare compliance independent contractor.

About SCCE

The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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