Running Head: HIM 360 1
5-2 Final Project Milestone Two: Draft of Compliance and Recommendations
HIM360
SNHU
February 12,2022
I. Compliance
HIM 360 2
A.
A compliance program refers to formalized effort in order to detect, prevent, and
respond to conduct the operation of a business that is inconsistent with state and federal laws
(Compliance program description - main line health, 2021). The importance of compliance
programs is that it ensures that the organizations adhere to the applicable state as well as
federal laws and other requirements of the healthcare sector. It helps in protecting practices
against abuse, waste, fraud, and other liability areas. One of the significant benefits of having
a formal compliance program is that it helps in establishing an organizational culture that
promotes detection, resolution, and prevention of conduct not conforming to the law or
ethical policies of the organization. Another prominent benefit is that it helps in reducing the
risk of improper or unlawful conduct. Not having a compliance program in place can result in
a number of disruptions in the delivery of patient care. It may even result in fines and other
legal consequences.
B.
The formal compliance program that is in place has been carefully analyzed. It is
found that the compliance program meets all the requirements of the OIG specifications. It is
appropriate for the specific clinic type and meets the needs of the facility.
C.
In case the compliance plan is not adhered to, it can result in a number of negative
consequences. It can affect the delivery of quality care to the patients in the healthcare
setting. Moreover, it may even give rise to several legal issues. In order to ensure optimum
