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Healthcare Compliance Agreement

The CIA contains provisions allowing the OIG to sanction companies for non-compliance with the terms of the contract. CIAs typically have a penalty of $2,500 for each day the company does not meet the requirements. According to OIG, the following seven components provide a solid foundation on which a medical practice can establish a voluntary compliance program: Risks related to: A simple access to documents demonstrating compliance protects your company from possible penalties, so that it is not able to reassemble these documents quickly, holes can occur in your case. If you don`t have the right tools and systems to keep you organized, this can lead to fire drills and overtime to try to coordinate your files during an audit or compliance check. We facilitate the process of identifying potential compliance risks for your health organization and quantifying the magnitude of the various risks. We can also help develop a work plan to define the extent of your organization`s compliance work. Solution: Setting up notifications and notifications for contract deadlines is a simple way to always stay ahead of critical contract management tasks. Knowing exactly when your contracts expire and having enough time to renegotiate terms within the permitted time frame is a simple way to reduce risk. Solution: Contract management software provides a safe place to store all your contracts, including medical contracts, supplier contracts, building rentals and much more.

This allows your legal team and key stakeholders to quickly and easily find each contract in the file and search for a term or keyword of interest as part of the contract. Companies cannot afford to work with contract management procedures due to strict health compliance regulations and severe penalties for non-compliance. A corporate integrity agreement (CIA) is negotiated with a health care provider or health organization. This type of agreement is part of a regulation of federal health program investigations arising from false claims laws. In exchange for the agreement, the OIG agrees not to exclude the provider or agency from participating in federal health programs. The implementation and supervision of the CIA requires considerable human and financial resources. 
All types of organizations and providers may be affected, including pharmaceutical companies, medical technology companies, hospitals, care homes and long-term care centers and medical practices. As all health care companies know, if sectoral rules are not followed, the consequences are serious.

In August 2018, William Beaumont Hospital, a detroit, Michigan-based regional hospital system, paid $84.5 million to settle alleged violations of the Stark Act (also known as the Self-Referral Physician Physician Law) and the anti-kickback status in relation to the Sweetheart Deals for treating physicians. Contract Guardian recognizes that covered organizations – health care providers, payers and clearing houses – must do everything in their power to comply with the confidentiality and security of protected health information (PHI). Covered businesses must have appropriate security arrangements for the administrative, technical and physical components of privacy. Many of the security guarantees are the same or similar to those implemented by a covered entity to meet data protection standards.

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