Discussion Guide: Legal Compliance-Discussion Guide for Legal Compliance Course

Discussion Guide for Legal Compliance Course

Pdf Summary

The document from the Home Centered Care Institute outlines a discussion guide for legal compliance in Home-Based Primary Care (HBPC) settings. Intended for individuals who have completed an online education activity on this subject, the guide aims to underscore the importance of reducing compliance risks while delivering HBPC services. The discussion is designed to last 60 minutes and is directed at healthcare providers.<br /><br />**Purpose and Audience:**<br />The goal is to emphasize the commitment of medical practices to lower compliance risks in HBPC. The discussion is meant for learners who previously completed an online course on "Legal Compliance for HBPC."<br /><br />**Materials and Structure:**<br />The discussion uses hard copies of handouts such as the Compliance Starter Template and Next Steps. A flipchart is optional for capturing ideas. The discussion is structured as follows:<br />1. Introduction (5 minutes)<br />2. OIG Guidance (15 minutes)<br />3. Key Compliance Concerns (10 minutes)<br />4. Compliance Program Elements (10 minutes)<br />5. Debrief (10 minutes)<br /><br />**Key Topics:**<br />1. **Introduction:**<br />   - Discuss the year when compliance program requirements were mandated (2010).<br />   - Compare compliance risks in home-based vs. outpatient settings.<br /><br />2. **OIG Compliance:**<br />   - Discuss the seven components of an effective compliance program per the Office of the Inspector General (OIG). Participants should recognize which components the practice implements effectively and which need improvement.<br /><br />3. **Key Compliance Concerns:**<br />   - Recall case studies that highlighted compliance violations like accepting kickbacks, unnecessary patient visits, self-referrals, and upcoding. Discuss potential consequences such as criminal prosecution, fines, and loss of medical licenses.<br />   - Examine compliance issues related to liability, coding, billing, privacy, documentation, and necessary services. Group brainstorming or smaller group discussions are suggested.<br /><br />4. **Compliance Program Elements:**<br />   - Review elements of a compliance program including having a compliance officer, policies, anonymous reporting, enforcement mechanisms, risk management, education, and ongoing monitoring.<br />   - Evaluate and discuss which elements are effectively implemented in the practice and identify areas for improvement.<br /><br />5. **Debrief:**<br />   - Participants use the Compliance Starter Template in small groups to identify areas of focus.<br />   - Review the Next Steps handout to decide future actions for improving compliance.<br /><br />The document serves to facilitate comprehensive discussions on maintaining legal compliance in home-centered care practices, highlighting key components and concerns, and fostering proactive improvements.

Keywords

Home-Based Primary Care

legal compliance

healthcare providers

compliance risks

OIG guidance

compliance program

medical practices

compliance concerns

compliance elements

compliance improvements