The Office of Compliance will perform periodic audits of claims submitted to Medicare, Medicaid and other federal health care plans and audits of the claims development and submission process. These audits may include reviewing the work of coders, billers, admitting and registration clerks, patient care providers (including physicians where reasonably possible) ancillary departments such as laboratory and diagnostic imaging and risk areas identified by the OIG or fiscal intermediaries. Audits may also cover the Medical Center’s relationship with third party contractors, including physicians on its medical staff, and compliance with laws governing kickback arrangements.

The Compliance Office may request that the director or manager of each affected department prepare and submit testing, audit and monitoring plans for his or her department.