Health Care Compliance
Health care compliance refers to the adherence of health care organizations and professionals to laws, regulations, and ethical standards that govern the industry. This includes following guidelines set by entities like the Health Insurance Portability and Accountability Act (HIPAA) and the Centers for Medicare & Medicaid Services (CMS). Compliance ensures that patient information is protected and that health care services are delivered safely and effectively.
Effective health care compliance programs help organizations prevent fraud, abuse, and errors in billing and patient care. These programs often include staff training, regular audits, and clear policies to promote accountability. By maintaining compliance, health care providers can enhance patient trust and improve overall quality of care.