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Corrective Action Plan for Healthcare Organizations

When regulatory compliance issues or other unlawful practices are uncovered at your healthcare organization, you need to take a beat to calmly assess the situation and generate a plan of action to remedy the situation. With a clear head and considered assistance from a knowledgeable healthcare law attorney, you can develop a corrective action plan that will fully and effectively resolve the identified issues.

Law Offices of Art Kalantar and our healthcare compliance lawyers are ready to help you build out and implement an effective corrective action plan. We’ll work with you to ensure that any compliance issues are properly and thoroughly resolved, limiting your liability and reducing the risk of future incidents. Call our healthcare law and regulatory legal team today to find out how we can help you protect your business, your reputation, your license, and your future.

What is a Corrective Action Plan?

A corrective action plan (CAP) is a step-by-step plan of action generated to achieve certain specific outcomes with regard to identified compliance issues in your healthcare organization. A successful CAP, developed with savvy healthcare law counsel, can be utilized by healthcare organizations to accomplish all of the following:

  • Identify problem areas in the organization, typically violations found by regulators or third-party payors such as Medicare or Medi-Cal
  • Evaluate the nature of the problems, their impact on your organization, and the consequences of non-compliance
  • Identify the root causes of the identified issues, whether they are surface errors or problems of process, practices, structure, or culture
  • Develop a plan of action to remedy the problems, improve processes or methods necessary to resolve the issue, remedy the root cause, evaluate the effectiveness of the solutions, and avoid future issues of a similar nature
  • Implement the plan of action in an efficient, thorough, and effective manner
  • Document how your CAP was implemented, including how it was communicated to employees, what new training is being utilized, and how the plan has impacted your practice
  • Review the problem areas following implementation of the CAP to ensure the issues have been remedied, including by conducting periodic effectiveness checks and possibly utilizing outside consultants and/or auditors

When Do You Need to Generate a Corrective Action Plan?

Corrective action plans are necessary when problems within the healthcare organization are identified. Problems might be discovered through internal monitoring and audits, or by investigations and audits conducted by third-party payors such as Medicare, Medi-Cal, or private insurers. Payors that identify unlawful conduct and compliance issues are likely to require the healthcare organization to generate and implement a CAP so that the payors can continue conducting business with the healthcare provider while being assured that any illegal, noncompliant, or fraudulent practices will be rooted out and stopped. If a Medicare audit uncovers problematic billing practices, for example, you need to be prepared to act swiftly to not only remedy the identified problem but also to unearth any underlying practices or processes that leave your practice open to future issues and liability.

If you’ve been the subject of a Medicare audit or other investigation, or you’ve identified non-compliance in your practice, speak with a seasoned healthcare compliance and corrective action attorney as soon as possible. The sooner you start developing your plan of action, the sooner you can reassure business partners and yourself that your practice is on the level. A thorough corrective action plan, implemented appropriately and properly communicated to all employees, can help you avoid future audits and legal problems. A comprehensive CAP reduces your costs in the long term and mitigates the risk of civil or even criminal liability down the line.

Corrective Action Plans and Healthcare Compliance Assistance in Los Angeles and Beyond

If you have uncovered compliance issues or unlawful conduct in your organization, it’s vital to take decisive, thorough, and efficient action to remedy the situation. Failing to handle the situation appropriately puts your reputation, your business, and your livelihood at risk. Look to the Law Offices of Art Kalantar and our healthcare corrective action plan lawyers for the qualified and considered legal representation and guidance you need.

Call 310-773-0001 at any time to request a free case evaluation with the Law Offices of Art Kalantar in Beverly Hills.

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