What Is Healthcare Compliance About

Filled under: Healthcare Compliance on April 2012

Today’s economy has affected all of us, as the financial crisis is giving everyone a hard time. The medical field makes no exception, since there are numerous healthcare providers who are trying to commit fraud in order to make some money. Luckily, the healthcare compliance program is here to supervise them and to make sure that the medical system is fraud-free. But what it healthcare compliance about, anyway? In the broadest sense, healthcare compliance is based on three principals which every healthcare provider must adhere to, without exception. Otherwise, they will be punished by law.

The first principle of a healthcare compliance program is keeping the medical decision-making process free of improper influence from the industry. Therefore, healthcare compliance is all about ethics and making sure that bribery is not encountered in the medical system. The second healthcare compliance principle implies a lawful promotion of products, which is regulated by the FDA in the United States. FDA stands for Food and Drug Administration and it is an agency under the U.S. Department of Health and Human Services. The FDA has to protect and promote public health, by means of regulating and supervising food safety, over-the-counter and prescription drugs, dietary supplements, vaccines, biopharmaceuticals, cosmetics, blood transfusions, medical devices, and basically everything that has to do with the methods used in treating patients. The third healthcare compliance principle has to do with disclosing accurate pricing information, in order to assure proper government reimbursement.

Every healthcare provider must understand these healthcare compliance principles and respect them to the fullest extent. Furthermore, the Healthcare Compliance Association in the United States dedicates itself to providing resources for ethics and compliance professionals, so they could better understand what healthcare compliance is about. In this sense, the association provides numerous publications and education programs, as well as an online social network where all the information needed on healthcare compliance is displayed. Moreover, the association is also keen on helping healthcare providers become healthcare compliance certified professionals. Therefore, every employee who merely interacts with healthcare professionals or with customers who acquire healthcare products must fully be aware of the healthcare compliance guidelines.

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