It has been observed that almost all healthcare institutes, as well as businesses in general, are subject to false allegations of wrong-doing. Such false allegations of illegal conduct adversely impact the reputation of the business or healthcare provider and places a negative light on all of the business’s staff and a healthcare service provider’s staff including doctors, nurses, related healthcare agencies and related diagnostic centers, etc. This is the same for other government contractors as well as any business endeavor. This is where a competent compliance attorney comes to provide comprehensive counsel for compliance with federal and state regulations in the field of healthcare law or other endeavors. A compliance attorney is a professional, who provides counselling for attaining and maintaining compliance with federal and state rules and regulations in the field of healthcare law, government contracting law as well as other requirements of law for other types of businesses.
The healthcare compliance attorney is highly skilled and has enormous experience in resolving healthcare contracting, Medicare and Medicaid issues, risk assessments, grant reviews, academic medical centers, billing, coding, HIPAA, and the various types of civil, criminal, and administrative matters. The compliance attorney’s goal [in any field of endeavor] is to handle each case meticulously by working in close cooperation with their clients and to assess merits of the case and how to best resolve it in the light most favorable for the client. The same applies to all fields of business endeavors. With the right compliance attorney, the contractor’s/healthcare provider’s professionals will be assured that they will have a basis from which to be defended from false allegations of illegal activities, such as a claim for services not rendered, rendering unwanted services, providing multiple bills for same service, false cost reporting, kickbacks in exchange of services, and attesting false document and at the same time, if some inappropriate conduct did take place, frame it and resolve it within the law and within the best possible light. Fraudulent activities, if not managed properly and within the law, may send hospital or other contracting authorities and doctors to jail even if they were not directly responsible for the crime. A competent compliance attorney can help you get out from under misplaced charges of unlawful and illegal conduct.
A most crucial role of a healthcare or other compliance attorney is to help an organization maintain its reputation by managing risk and avoiding lawsuits. They are responsible for instituting practices that can assist in establishing and maintaining the highest level of compliance and keep businesses ethically sound and legally protected. The compliance attorney has experience and skill to determine how an organization should be guided, directed and governed. One of the major roles of the compliance attorney is to make sure that the employees of an organization are aware of compliance related issues and how to avoid violating the federal and state rules and regulations that govern their operations.
It is extremely important for healthcare entities or other contractors to incorporate an effective compliance program that can defend the entity. The objective of this compliance program is to prevent criminal conduct and enforce government rules and regulations, while providing quality care to the patients or the general public, as applicable. The compliance programs are meant to protect against any sort of improper and fraudulent activities, as well as abuse, and the numerous other areas of potential liability.
Benefits of Compliance Programs
- Promote the organization’s commitment to compliance
- Compliance attorney responsible for monitoring compliance efforts and enforcing practice standards in an organization so as to avoid problems and establish good faith if problems arise
- hone alertness and vigilance to potential breaches in compliance
- maintain ethics and principles of the organization
As fraud initiatives are increasing, medical practices, healthcare entities and regular business entities are seeking the help of compliance attorneys and instituting compliance programs so as to reduce the risk factor of inadvertent misconduct. With a solid compliance program, an organization’s commitment to compliance is promoted and its ability is enhanced to detect and remedy errors before they become existential threats to the host entity.
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