Compliance Program Guidance

E193258

Compliance Program Guidance is a series of advisory documents that outline recommended standards and best practices for healthcare organizations to prevent, detect, and address fraud, waste, and abuse in federal health care programs.

All labels observed (2)

Label Occurrences
Compliance Program Guidance canonical 1
OIG Advisory Opinions 1

How this entity was disambiguated

Statements (45)

Predicate Object
instanceOf advisory document series
health care compliance guidance
aimsTo improve adherence to federal health care program requirements
promote ethical conduct in health care organizations
protect beneficiaries of federal health care programs
reduce financial losses from fraud waste and abuse
appliesTo health care plans
health care providers
health care suppliers
organizations participating in federal health care programs
characterizedAs best practice guidance for compliance programs
non-binding recommendations
describes elements of an effective health care compliance program
emphasizes documentation of compliance activities
leadership commitment to compliance
ongoing evaluation of compliance program effectiveness
risk-based compliance program design
focusesOn Medicaid program compliance
Medicare program compliance
other federal health care benefit programs
hasDomain federal health care programs
fraud waste and abuse prevention
health care compliance
hasPurpose to help address abuse in federal health care programs
to help address fraud in federal health care programs
to help address waste in federal health care programs
to help detect abuse in federal health care programs
to help detect fraud in federal health care programs
to help detect waste in federal health care programs
to help prevent abuse in federal health care programs
to help prevent fraud in federal health care programs
to help prevent waste in federal health care programs
to outline recommended standards for compliance programs
recommends corrective action plans for identified compliance issues
education and training on compliance requirements
effective lines of communication for reporting compliance concerns
enforcement of standards through disciplinary guidelines
internal monitoring and auditing of compliance activities
policies and procedures for compliance programs
prompt response to detected offenses
standards of conduct for health care organizations
relatedTo federal program integrity requirements
health care fraud and abuse laws
supports development of internal compliance controls
standardization of compliance practices across health care entities

How these facts were elicited

Referenced by (2)

Full triples — surface form annotated when it differs from this entity's canonical label.

Office of the Inspector General publishes Compliance Program Guidance
subject surface form: Office of Inspector General, U.S. Department of Health and Human Services
Special Fraud Alerts relatedDocumentType Compliance Program Guidance
this entity surface form: OIG Advisory Opinions