Medical Compliance Plan - Essay Example

Secondly, the improvement and sustenance of quality of service delivered to clients is likely to be guaranteed if a deliberate plan exists for highlighting quality service delivery (Collard, 2012). Alternatively, establishment of the appropriate business and health concepts with regard to productivity is important for sustainable operations as captured in the spirit of a medical practice plan. Organizational commitment to standards provided by professional bodies across the various departments in the medical institution is facilitated if a working practice plan is implemented.

For instance, the compliance demands provided by doctors and other medical practitioners’ bodies could not be implemented without a plan integrating other regulatory demands such as from legal regulations. In addition, other professional bodies involved in management such as accountants, auditors, human resource and security bodies must be incorporated within the overall institutional policy. Updating regulatory demands as changes emerge from various developments in professional practices need an integrated approach, which can only be offered through a plan incorporating all those functionalities.

Among the most important demands for consideration in the plan for the medical practice setting with regard to anti-fraud policies include; internal control standards, focus on medical practice, billing functionalities, standing orders compliance, fraud alert system, marketing functionality, interaction with potential inducements as well as documentation and authentication elements (The Voyager, 2012). To achieve such levels of compliance demands in a functional institution, a compliance implementation department or office must be created for constant surveillance of commitment to its implementation.

Alternatively, training functionality of the plan must compliment the implementation processes since resistance and ignorance among the staff levels may hinder satisfactory implementation. Sufficient efforts must be dedicated to ensure that education platforms for the institution supply enough compliance preparedness. Communication parameters for the plan within the institution require a constant appraisal to facilitate less hindrance to perfect interaction among the various levels of employees.

In order for the plan to support the operations of the institution, discipline enforcement mechanisms must always play a role in the overall commitment to compliance. It therefore implies that the institution must balance commitment elements with a reward system to act as an incentive among the various degrees of workers. Correction concepts in cases of deviations in the implementation needs must also constitute the plan requirements in order to ensure constant commitment to the quality needs in every department.

Appraisal of the plan requires a constant evaluation and monitoring functionality, which when coupled to the internal control standards can deliver results for the prevention of fraud. The importance of surveillance for purposes of auditing cuts across the most compliance needs of the institution, to ensure a uniform departmental compliance approach. To ensure a balanced opinion in the performance of the internal control standards proposed by the plan, it is advisable that an external opinion forms part of the evaluation plan.

Special agents from outside the