Office of Inspector General (OIG)

Federal

Office of Inspector General (OIG) Manual Compliance

Not compliant

Overall Federal Compliance

Federal

Seven Required Elements

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Compliance Officer

Disciplinary Standards

Lines of Communication

Seven Required Elements (more)

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Monitoring

Response to Offenses

Training

Written Policies and Procedures

Federal Fraud and Abuse Laws

Every employee trained on the False Claims Act and the training is logged.

Read more: General Compliance Program Guidance, OIG Roadmap for New Physicians, False Claims Act For Chiropractic Physicians, Ask Paxson?

Every employee trained on the Exclusion Authorities rules and the training is logged.

Read more: OIG Compliance Guidance, OIG Roadmap for New Physicians, Exclusion Authorities, Ask Paxson?

Every employee trained on the Civil Monetary Penalties Law and the training is logged.

Read more: OIG Compliance Guidance, OIG Roadmap for New Physicians, Civil Monetary Penalties, Ask Paxson?

Stark and Anti-Kickback Laws

Ensure that business relationships with third-party vendors and contractors comply with applicable laws and regulations, including anti-kickback and Stark laws.

Read more: Avoiding Medicare and Medicaid Fraud, Ask Paxson?

Written policy established [1] that prohibits the exchange of anything of value in return for referrals or purchases of healthcare services paid for by federal healthcare programs (anti-kickback statute).

Read more: Self Referral and Anti Kickback Laws, Ask Paxson?

All contracts and arrangements have been reviewed to ensure that all parties are being compensated at fair market value.

Read more: Self Referral and Anti Kickback Laws, Ask Paxson?

Every employee trained on the Anti-Kickback Statute and the training is logged.

Read more: OIG Compliance Guidance, OIG Roadmap for New Physicians, Anti Kickback Statuted for Chiropractic Physicians, Ask Paxson?

Every employee trained on the Physician Self-Referral Statute and the training is logged.

Read more: OIG Compliance Guidance, OIG Roadmap for New Physicians, Self Referral Statute, Ask Paxson?

Other Written Policies

Implement written policies [1], procedures, and standards of conduct that address high-risk areas for fraud and abuse.

Read more: Creating A Culture of Compliance, Ask Paxson?

Establish a system for internal reporting of potential compliance violations and a process for investigating and correcting any identified problems.

Read more: OIG Compliance Guidance, Ask Paxson?

Implement disciplinary measures for noncompliance with the compliance program, including policies for reporting violations to appropriate authorities.

Read more: OIG Compliance: Getting Started, Creating A Culture of Compliance, Ask Paxson?

Conduct periodic internal audits or evaluations to assess the effectiveness of the compliance program and identify areas for improvement.

Read more: OIG Compliance: Getting Started, Creating A Culture of Compliance, Ask Paxson?