Health Care Compliance Programs Will Soon Be Mandatory
Yesterday marked the six-month anniversary of the new federal health care law, the Patient Protection and Affordable Care Act (PPACA). Under Section 6401, PPACA requires health care providers to develop and implement a formal health care compliance program as a condition of enrollment in federal health care programs.
PPACA mandates compliance programs for participation in Medicare, Medicaid and CHIP. For health care providers who have not formally implemented a compliance program, the time will soon come. Health care providers must adhere to federal law and take compliance seriously. Health care providers nationwide are experiencing an increase in audit activity and investigations resulting in significant overpayment demands and recoupment. It is far more cost-efficient to be proactive in developing an effective compliance program than responding to a Medicare post-payment review or more serious investigation. Providers should consider an effective program that requires consistent involvement from the provider and staff as opposed to a “canned” program that sits on a shelf.
The Martin Law Firm is a health law firm located in Blue Bell, Montgomery County, PA. The Martin Law Firm represents health care providers for matters involving health care compliance, Medicare audits and appeals, insurance post-payment reviews and general business matters. Contact The Martin Law Firm to speak to an experienced health care attorney today.