Corporate Compliance and Regulation Overview

These flashcards cover key concepts and terminology related to corporate compliance and regulations based on the lecture notes.

Federal Sentencing Guidelines

Established standards for the U.S. Government to respond to organizational misconduct.

Culpability Score

A standard mechanism for determining fines based on an assessment of the organization's compliance program.

Effective Compliance Program

A compliance program that exercises due diligence to prevent and detect criminal conduct and promotes an ethical organizational culture.

Compliance Officer

An employee and member of senior management responsible for ensuring compliance with federal and state health care regulations.

Whistleblower Protections

Policies that prohibit retaliation against employees who report suspected compliance violations.

Corporate Integrity Agreement (CIA)

An agreement negotiated as part of a settlement to ensure compliance with federal health care program requirements.

Audit Plan

A structured approach to evaluate internal processes and ensure compliance, identifying areas to be audited.

Mandatory Self-disclosure

The legal obligation of health care organizations to report overpayments to the government within a defined time frame.

Compliance Training and Education

Mandatory training for workforce members on compliance policies, procedures, and legal requirements.

Communication and Reporting

Mechanisms to enable individuals to disclose compliance violations without fear of retaliation.