Q&A: Establishing a revenue cycle compliance committee

Q: What titles should be considered necessary members of a revenue cycle compliance committee? What structure should it follow?

A: The committee will address day-today compliance issues and may include a special subcommittee dedicated to billing and coding. The committee should include key stakeholders from compliance, coding, reimbursement, revenue cycle, and clinical leaders and should communicate any compliance concerns to a board-level compliance committee. Committee meetings should be held on a regular schedule, stated in the committee’s statement of work, rather than on an ad hoc basis.

Along with day-to-day compliance issues, the committee should discuss implementation of new services and other initiatives, as well as create a platform for internal assessment and monitoring activities. This group could also discuss emerging issues and root cause analysis for specific compliance issues that have arisen in the revenue cycle.

For more information, see The Compliance Officer’s Handbook, Fourth Edition.