Incorporating Compliance Program Analytics
Healthcare Compliance Program reliance on data analytics has dramatically increased in recent years. Organizations have developed internal methods to gather information that can be used to avoid or mitigate the risks of potential liabilities for non-compliance. The number of vendors that have entered the market with programs has resulted in the advancement of controls and tools available to compliance professionals. Additionally, federal regulatory and enforcement agencies continue to stress the importance of organizations using data to identify and address compliance risks and exposure. The DOJ, in its Evaluation of Corporate Compliance Program Guidance, directs their prosecutors to ask “[d]o compliance and control personnel have sufficient direct or indirect access to relevant sources of data to allow for timely and effective monitoring and/or testing of policies, controls, and transactions?” The OIG, in its published General Compliance Program Guidance , states that...