Complete Healthcare Compliance Manual

Time: [TIME] [A.M./P.M]–[TIME] [A.M./P.M] [TIME ZONE]

Date: [MM/DD/YYYY]

Location: [ROOM NAME], [BUILDING NAME]

Remote Access: via [TEAMS, ZOOM, or Webex]

Members

Guests

• _____[NAME], [JOB TITLE]_

• _____[NAME], [JOB TITLE]_

• _____[NAME], [JOB TITLE]_

• _____[NAME], [JOB TITLE]_

• _____[NAME], [JOB TITLE]_

• _____[NAME], [JOB TITLE]_

• _____[NAME], [JOB TITLE]_

• _____[NAME], [JOB TITLE]_

• _____[NAME], [JOB TITLE]_

Record of Attendance/Start Time: Compliance officer (CO) [NAME]

Approval of Minutes: CO [NAME]

Compliance Program Update: CO [NAME]

New hire, hybrid work

Policies & Procedures and Code of Conduct Update: Presenter(s) [NAMES]

Code of Conduct: revisions status

Exclusion Screening Policy: update

Conflict of Interest Policy: draft

Arrangements with Providers Policy: update

Billing Monitoring Policy: draft

Corporate Compliance Committee Charter: update

False Claims Act Policy: revision

Risk Areas, Auditing, and Monitoring: CO, Presenter(s) [NAMES]

HHS OIG Work Plan: risk areas follow-up

Annual Risk Assessment: status

Annual Compliance Work Plan: progress report

Compliance score review/ metrics: update

Regulatory update:

• Sunshine Act reporting requirements

• 21st Century Cures Act Final Rule (information blocking)

• COVID-19 blanket waivers

• Telemedicine

External government audits update:

• RAC

• ZPIC

• TPE

• OIG

Annual Compliance Program Assessment: schedule and planning status

External audit: outsourced coding-audit status

Regulatory update:

• Sunshine Act reporting requirements

• 21st Century Cures Act Final Rule (information blocking)

• COVID-19 blanket waivers

Compliance Training and Education Update: Presenter(s) [NAMES]

Board compliance training presentation: schedule and content

New employee orientation /HR meeting

General compliance training [YEAR]: vendor proposal for LMS /content

General compliance training: statistics

Coding compliance training: schedule and content

Exclusion Screening/Enforcement: Presenter(s) [NAMES]

LEIE screening: update on monthly [YEAR] results

Screening vendor: contract status

Effective Communication (Hotline/Disclosures): Presenter(s) [NAMES]

Hotline summary report: Q3/[YEAR]

Quarterly Compliance Newsletter: Q4/[YEAR] draft

HIPAA: Presenter(s) (e.g., Privacy Officer [PO]), Security Officer [SO]) [NAMES]

OCR disclosure/incident

Upcoming HIPAA security assessment

Open Forum: All

Adjournment/End Time [TIME] [A.M./P.M.] [TIME ZONE]