University of New Mexico Health Sciences Center

Why Compliance is Necessary

• As health care costs continue to increase, the government has begun to scrutinize more closely those health care institutions and programs that receive federal money.

• Rules and regulations not strictly followed may result in fraud charges against an institution despite a lack of intent to violate the law. Penalties for even apparently innocent violations can be very steep.

• As a result, the implementation of health care compliance programs has become standard practice to help prevent potential future legal actions. Such programs help to ensure that a health care institution is in compliance with legal obligations and simultaneously to minimize the likelihood of a government investigation.

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Related links:

          Regent's Compliance Policy
          UNM HSC Institutional Compliance Plan Revised 01-31-06

          Deficit Reduction Act of 2005 (Powerpoint Presentation)
          Reporting Misconduct and Retaliation

          Office of Inspector General (OIG):
          OIG Fraud Alerts, Bulletins and Other Guidance
          OIG Compliance Guidance
          OIG Work Plan

          State and Federal Legislation:
          New Mexico Statutes
          New Mexico Courts
          New Mexico Legislature
          New Mexico Administrative Code
          New Mexico Register

          Code of Federal Regulations (CFR)
          United States Code
          Federal Register

          Centers for Medicare and Medicaid Services (CMS)
          New Mexico Medical Board

Why Compliance?
Code of Conduct
The Compliance Hotline
Policies and Procedures
Compliance Education
Vendor Compliance
OIG/GSA/SDN Exclusions
What is HIPAA?
The Privacy Rule
The Security Rule
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