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Running head: ROLES OF A COMPLIANCE MANAGER 1

ROLES OF A COMPLIANCE MANAGER 6

Role of a Compliance manager

Keri King

10/13/2019

A compliance officer or manager is tasked with the responsibility of ensuring that the company functions in the right, legal and ethical manner at the same time attaining business goals. The purpose of the two compliance plans is to ensure there is a clear cut in qualifications for different roles or fields. The qualification in law, finance and business management are relevant for different fields. Compliance should be in a written form in a simple language that could be understood by all employees and at any time. The compliance manager is tasked with the responsibility of reviewing company policies, develop[p compliance program, and fully advice management on possible risks (Moore,2005). Compliance would benefit the company by being in the same direction as the law requires and avoid compromise or being sued for violation and would make auditing fast and easy while all employees would be responsible for whatever they do. A compliance officer is also tasked with responding to policy violations and fully reviewing employees' work. Comment by [email protected]: spelling Comment by [email protected]: Structure sentence differently

Job description.

· He or she would be responsible for reviewing the employees' work.

· He or she should be the one to develop the company’s policies. He will also be involved in responding to the company's violation (Becker, 2012)

· Implementing and managing efficient and effective legal compliance programs and reviewing company policies.

· He or she should be responsible for auditing the company’s procedure.

· Others will include assessing the company's operation to determine compliance risk and

· Getting involved in resolving clients' concerns on legal compliance.

Qualifications

· He must be a highly qualified professional in the field. Comment by [email protected]: In the job description area, you mentioned “he or she” However, in the qualifications area you reduced this to a male. Are women excluded from this role? Be consistent and be careful of what is written and how it may be perceived.

· Must have the ability to conduct analytics.

· He must possess excellent and perfect oral and writing skills and good communication skills.

· He must have a bachelor’s degree in law, finance, business management or other related and recognized fields from a recognized university or college.

· He must have experience in the field ranging from 3-5 years (Walter, 2010).

· He must have a piece of advanced knowledge in the legal requirements procedure.

· He must be able to assess the company's operation to determine and ascertain compliance risks that might arise from within or without.

Overview of compliance

A compliance plan refers to a legal and formal document regarding a healthcare practice intention in conducting its self following the ethical issues in business operations, care to patients, services offered to patients and government regulations. The motive of compliance is the provision of a blueprint for practice and sets a baseline for employees to report conducts that are not ethical (Snell & Troklus,2001). It is a requirement from the federal laws for healthcare to come up and implement a formal compliance program. The compliance provides a guideline for the overview of compliance and due to complexity auditing id done annually. Healthcare providers should also seek services of law experts in the provision of detailed guidance on the development and implementation program. Comment by [email protected]: Spelling

Objective

The motive of compliance is to try to explain why compliance is a crucial practice in health care service provision. Again the motive is to try to detect the fraud by federal and abuse of laws. For a long time, the department of health and human services has been tirelessly working aiming at preventing fraud, abuse, and waste in the health care that is funded by the federal government. They serve to protect the integrity of the program as well as the welfare of those likely to be beneficiaries of the program. Comment by [email protected]: Add comma after this word. However, it is best if omitted. Comment by [email protected]: omit Comment by [email protected]: What do you mean by this: fraud by federal and abuse of laws? You must be clear and concise. Comment by [email protected]: Insert punctuation Comment by [email protected]: omit

Importance

A compliance plan is very important especially in the health care [provision sector. The importance goes beyond the obvious reasons .compliance is a requirement by the federal law and going against it can have a severe consequence .the most important reason for the importance is that it serves to prevent claims that are fraudulent in nature and billing that might have errors .compliance plan serves to prepare the auditing and avoids the conflicting circumstances that might or are likely to come up in business operations and also services offered to patients should be of the best quality. If there is a violation of a lack of compliance, the health care organization might incur serious consequences like exclusion from Medicare or even be forced to complete and adhere to completing corporate. Comment by [email protected]: Please double check work. Comment by [email protected]: Place period in correct place. Start with a capital letter. Comment by [email protected]: See above

Seven fundamental elements

The compliance plan must be following the US sentencing commission guideline manual. The guidelines are meant to guide the health care providers in their work of service delivery and clearly defines strategies and the plans for their compliance programs. The seven basic fundamental elements for effective compliance include:

· Delegating authorities via due diligence.

· Educating employees and developing effective and working applications used in communication.

· Implementation of written policies standardizing them and make sure they follow the procedure and the conduct.

· Clearly designating a compliance committee popularly known as (CO) setting up a compliance committee that is tasked with the role of oversight.

· Enforcing necessary standards via well-publicized guidelines applied in the guidelines.

· Responding instantly and promptly in offense detection and necessary taking correct and right action.

· Regularity conducting internal monitoring and auditing.

Implementation of the policies.

An effective and a working and working compliance program depends and varies on the policies that are available in a written form, in accordance with standards of conduct and the procedures that are explained in the compliance document (Bielgelman,2005) The compliance document explains ways to practice commitment to the required legal standards, the required quality of service and conducts that are in accordance with the ethics set. It is important to note that the code of conduct intensifies the model behavior to be adhered to by employees and guidelines on how to report the violation and suspected unethical violation. Comment by [email protected]: Spacing

You have to concentrate on ensuring that what you mean to say is what is provided on the paper. There are many instances where I was unsure of what I was reading. Break up sentences if you have to.

References

Becker, J. M. (2012). Guide to Coding Compliance. Boston, MA: Cengage Learning.

Biegelman, M. T. (2008). Building a World-Class Compliance Program: Best Practices and Strategies for Success. Hoboken, NJ: John Wiley & Sons.

Moore, M. F. (2005). ADA Compliance Manual for Employers.

Snell, R., & Troklus, D. (2001). In Search of Health Care Compliance 2001. Burlington, MA: Jones & Bartlett Learning.

Walter, R. J. (2010). Practical Compliance with the EPA Risk Management Program. Hoboken, NJ: John Wiley & Sons.