tci Medicare Compliance & Reimbursement - 2023 Issue Q2

Compliance: Get Ready for an Overhaul of OIG’s Compliance Guidance

Hint: MA plans are first on the federal watchdog’s update list. With most federal healthcare compliance, as soon as you figure out the requirements, the feds change the rules. And a recent HHS Office of Inspector (OIG) notice indicates more of the same. OIG plans to rework its compliance program guidances, which likely means more work for you, experts predict. Old way: The first compliance program guidance (CPG) that OIG offered was for hospitals in February 1998. Six months later, the agency followed that up with guidance for home health agencies and clinical labs — and subsequently rolled...

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