One thing that you will learn in the Compliance and Accreditation role is that there always self proclaimed experts that seem to show up in your organization. They usually tend to be folks who have good intentions but are woefully deficient in the areas they seem to profess expertise in. Usually they've assisted in some type of audit or process review but are just not up on the current requirements. The other type is the free spirited "Requirement Cavalier". OK, I coined this phrase myself... basically this person uses this knowledge to push an idea or concept in order to further their personal agenda. Unfortunately their limited knowledge usually ends up causing organizational harm(usually financial) and take years to fix.
I'll use an example, many years ago a particular client who delegated certain NCQA Health Plan requirements to a vendor also had specific requirements for member satisfaction. These requirements somehow got pushed by an account manager as being NCQA requirements and the vendor began to base programs off these. However several years down the road these requirements had a negative impact on the vendor. The requirements went under review and was later revealed to be requirements not needed for NCQA Health Plan delegation. However among account managers they were told by certain individuals that this was a requirement. The "requirement" was based partially on fact but mostly it was to get the sale for the account manager and keep the account. . The people that had created this perception never actually consulted the accreditation team. They also had left company previously to the issue being discovered.
Bottom line: Poor interpretation of requirements and regulations can seriously impact your company. The compliance department is a sanity check not a road block
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