The 8 Elements of an OIG Compliance 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…

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Deductible and Copay Under Hardship

Hardship Discounts for Copayments and Deductibles One of the most significant inducement violations in health care is routinely waiving copayments and deductibles. It is such a serious violation that a number of federal advisory opinions have been written on the subject. Often, providers believe that simply proclaiming a hardship is enough, and high copayments or…

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