A voluntary compliance plan is a formally adopted plan by healthcare providers to facilitate conformity with the federal Medicare and Medicaid fraud and abuse laws, the laws regarding billing and submission of claims, and the Stark I and II Laws.

Through the recent fraud and abuse enforcement efforts of the government, it has become clear to the OIG (Office of Inspector General) that improved internal controls in provider billing systems are needed to monitor adherence to federal healthcare statutes and regulations.

The following benefits may be gained from the implementation of a compliance plan:

Improved Performance - Your development process and the ongoing monitoring of a compliance plan will allow all participants to better understand how the practice actually functions. The additional knowledge gained during the development and monitoring of a compliance plan, will allow the practice to more effectively use resources. Over the long term, proper function of a compliance program could save you money and will facilitate a well-managed practice.

Ethical Culture - The federal government expects providers to self-police their practice and prevent any internal wrongdoings. Compliance activities reduce the likelihood of a violation. A compliance plan creates an "ethical culture" which improves the image of your healthcare practice and wins the loyalty of employees.

Safeguard Assets - A properly managed compliance program will assist in the protection of corporate assets.

Reporting System - A properly defined reporting system or "hotline" can head-off external reporting of problems thereby allowing investigations to be performed internally.

Response System - A compliance plan creates a response system if there is an internal investigation and establishes structure for attorney-client privilege.

Mitigate Penalties - Sincere attempts at the compliance program may result in a mitigating factor and reduce penalties.

Aspen Consulting Group, Ltd. can provide the necessary guidance regarding internal controls, federal regulations and claim submission to develop and implement a compliance plan that assists the provider(s) compliance with current laws and regulations.