Biomaterial Database

OIG demands transparency for physicians and staff in 2010: welcome to the modern era of compliance. 2009

Debra Cascardo

The Cascardo Consulting Group, One Fox Run, Armonk, NY 10504, USA. dcascardo@aol.com

A compliance plan is a physician practice's defense against legal and ethical misconduct. A compliance plan that sits on a shelf provides no protection from government watchdogs. You have to have a practice culture that demonstrates the importance of a commitment to compliance with the law. Your practice must encourage every effort to combat fraud and abuse. Your employees must know that you are committed to doing the right thing. Everyone in the practice must live up to the procedures and policies in your plan on a daily basis. Implementing a compliance program not only makes you aware of the processes in your office but gives you feedback on what you staff members doing and how competent and knowledgeable they are. It is a "win win" situation for all involved.

UI	MeSH Term	Description	Entries
D008484	Medicaid	Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.	Dental Medicaid Program,Medical Assistance, Title 19,Dental Medicaid Programs,Medicaid Program, Dental,Medicaid Programs, Dental,Program, Dental Medicaid,Programs, Dental Medicaid
D010820	Physicians	Individuals licensed to practice medicine.	Physician
D006278	Medicare	Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)	Health Insurance for Aged and Disabled, Title 18,Insurance, Health, for Aged and Disabled,Health Insurance for Aged, Disabled, Title 18,Health Insurance for Aged, Title 18
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014481	United States	A country in NORTH AMERICA between CANADA and MEXICO.
D014487	Centers for Medicare and Medicaid Services, U.S.	A component of the Department of Health and Human Services to oversee and direct the Medicare and Medicaid programs and related Federal medical care quality control staffs. Name was changed effective June 14, 2001.	Centers for Medicare and Medicaid Services,United States Centers for Medicare and Medicaid Services,United States Health Care Financing Administration,Centers for Medicare and Medicaid Services (U.S.),HCFA,Health Care Financing Administration,Health Care Financing Administration (U.S.),Health Care Financing Administration, U.S.
D019983	Guideline Adherence	Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.	Institutional Adherence,Policy Compliance,Protocol Compliance,Adherence, Guideline,Adherence, Institutional,Compliance, Policy,Compliance, Protocol
D020408	Health Insurance Portability and Accountability Act	Public Law 104-91 enacted in 1996, was designed to improve the efficiency and effectiveness of the healthcare system, protect health insurance coverage for workers and their families, and to protect individual personal health information.	HIPAA,Kassebaum Kennedy Act,Kennedy Kassebaum Act,PL 104-191,Public Law 104-191,United States Health Insurance Portability and Accountability Act,PL104-191,PL104 191,Public Law 104 191