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

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

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

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

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

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

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

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

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

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