The Office of the Inspector General (OIG) is the enforcement division of HHS. Their mission is to figtht waste, fraud, and aubse in Medicare, Medicaid, and 300 plus other HHS programs.
The OIG's voluntary compliance program guidance is an effort to encourage the development and use of internal controls to monitor adherence to applicable statutes, regulations, and program requirements. This is NOT the same thing as HIPAA Compliance, although HIPAA compliance can be part of an OIG compliance program because it is a federal program. At this time, this is still a voluntary program for most healthcare providers. Some industry experts believe that There will be a compulsory compliance program at some future date.
Currently there are program guidelines for a variety of segments of the healthcare industry from hospitals to providers to billing agencies.
- OIG Compliance Program for Individual and Small Group Physician Practices - Federal Register, October 5, 2000
- Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians by the Medicare Learning Network (resource 299)
- Compliance Guidance by the OIG
- Self-Disclosure Information (resource 297)
- Offering Gifts and Other Inducements to Beneficiaries - Spcial Advisory Bulletin - OIG (resource 113)
- Incentives for Services - OIG Advisory Opinion No. 12-21
- Prompt Pay Discounts - OIG Advisory Opinion No 08-03 (resource 174)
- Civil Monetary Penalties Law - OIG website (resource 269)
- OIG Work Plan for 2015 by the OIG
- Federal Health Care Fraud Summary 2012
- Voluntary Disclosure–Look before You Leap
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