Healthcare compliance describes an organization’s or care professional’s adherence to all legal, ethical, and professional standards and regulations associated with care.
All healthcare organizations must be compliant with certain conditions of participation to participate in federal healthcare programs. Healthcare compliance is part of a holistic approach called healthcare governance, risk management, and compliance (GRC).
Various federal and state agencies are in charge of regulating healthcare compliance:
The rules of healthcare compliance can be complex and change frequently. To keep up with these changes, organizations may need to undergo operational and workflow changes, internal audits, ongoing education, and health IT compliance updates.