Voluntary Compliance Program Guidance for Individuals and Small Group Physician Practices The history of the OIG compliance program began with a Federal Register notice released on October 5, 2000[1]. Under the Department of Health and Human Services (HHS), the Office of Inspector General (OIG) released a notice titled OIG Compliance Program for Individual and Small…

This Rapid Tutorial training brings to light all the most important components of the OIG Compliance Program and its role in your practice. Everyone on the team should be aware of the required elements of the program. This training will provide the “why” behind the elements of the program.

Core Components Are Expected in Your Compliance Program The Patient Protection and Affordable Care Act of 2010 (PPACA) made office Compliance Programs mandatory for all physician practices as a condition of enrollment in Medicare, Medicaid, and/or CHIP. These compliance programs must address certain ‘core elements.’ The core elements are derived from the eight elements of…

FWA Training is Usually Required Fraud, waste, and abuse (FWA) are terms that healthcare providers hear from third-party payers and government program agencies. Most third-party payers require some form of FWA training on an initial and annual basis for all employees of healthcare businesses. As part of a viable Compliance Program, this training is constantly…

Let’s start at the very beginning! Review this short video to best understand what is intended by OIG Compliance. There is much to consider as practices begin to implement a required OIG Compliance program. This short training allows for a high-level overview of the concept of OIG Compliance, and what it means to your practice.

Installing Policy & Procedure FAQs As compliance specialists we receive a variety of questions about policy requirements. In an effort to assist clinics with HIPAA related inquiries, we have provided a list of common questions for consideration. Please take the time to review the questions prior to auditing or developing policies within the clinic. Q:…