Healthcare compliance is governed by various laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and regulations from the Centers for Medicare & Medicaid Services (CMS), and Occupational Safety and Health Administration (OSHA) standards). There also are accreditation standards (e.g., The Joint Commission). And healthcare organizations follow their own internal policies and procedures (e.g., the bylaws). These standards aim to ensure data security, patient privacy, and ethical conduct in healthcare operations.
Compliance in the healthcare industry requires fast and full adherence to changes in this highly regulated space. Aside from poor outcomes, regulatory noncompliance can result in financial penalties, lower reimbursements, unwanted oversight, and negative media attention.
