OIG Compliance Resources (Resource 298)

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.

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