When should the compliance plan be reviewed?

The compliance plan should be reviewed always, considering multiple factors, because a robust compliance program requires not only adherence to current laws and regulations but also an understanding of the unique circumstances and risks that a healthcare organization faces. Regular reviews of the compliance plan can help identify potential compliance risks and ensure that the plan is effectively addressing the organization's specific needs.

There are multiple triggers for reviewing a compliance plan beyond just new regulations or guidelines from the Office of Inspector General (OIG). These triggers can include changes in the organization's operations or services, updates in technology, emerging compliance risks, shifts in the healthcare industry, changes in personnel, and new types of fraud or abuse patterns. By adopting a continuous review process, organizations can remain proactive in maintaining compliance, rather than reactive when specific events occur. This ongoing assessment helps to foster a culture of compliance and ensures that the plan remains relevant and effective in mitigating risks associated with healthcare compliance.