Why Should You Comply

Filled under: Healthcare Compliance on February 2013

Healthcare compliance is a topic of a high importance nowadays, at least in the United States. As health preoccupies all of us, all changes and regulations in this domain are of a high interest for everyone. Health is without a doubt the most important thing we possess, so in the unfortunate case in which something occurs to affect our health, we need to receive the best medical care possible. Consequently, all health providers need to offer their patients the highest quality care and the best services.


Even though nowadays, to comply is still a choice, although a common decision that numerous healthcare providers make, failing to comply can lead to some of the most serious type of consequences. Some of the most important cases in which non-compliance claims have been raised have actually lead to situations in which people lost their jobs or found themselves in the need to pay fines. In some of the worst cases, people have even been sentenced to jail penalties for non-compliance claims. Consequently, the importance of complying is surely obvious.

Both organizations and employees should be completely aware of what non-compliance means and the consequences that can be experienced in such situations. In fact, organizations should have a written compliance plan and a standard of conduct that all employees should know and respect. This plan is to include all guidelines, policies and procedures that should be used in each day activity. Employees should be fully aware of the content of the compliance plan belonging to the organization they are working for, to be able to respect all its requirements.


All compliance programs should regard the following:

  • compliance risk areas;
  • hiring practices;
  • healthcare insurance and billing compliance;
  • medical records releases and informed consents;
  • professional courtesy discounts for different compliance programs and services;
  • medical necessity and documentation;
  • confidentiality and patient rights;
  • employee safety, rights and obligations;
  • environmental concerns.


Complying and developing a functional compliance plan can actually be a must nowadays. This is the only way to avoid claims and undesired situations in which patients raise non-compliance cases. The consequences to non-compliance can be so serious that organizations cannot afford risking such a situation. This is why, complying is crucial.

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