Category: OIG Guidance and Reports
Appendix
1 The OIG1 has issued compliance program guidances for the following seven industry sectors: hospitals, clinical laboratories, home health agencies, durable medical equipment suppliers, third-party medical...
IV. Conclusion
Through this document, the OIG has attempted to provide a foundation for the process necessary to develop an effective and cost-efficient nursing facility compliance program....
III. Assessing the Effectiveness of a Compliance Program
Considering the financial and human resources needed to establish an effective compliance program, sound business principles dictate that the nursing home’s management evaluate the return...
H. Responding to Detected Offenses and Developing Corrective Action Initiatives
Violations of a nursing facility’s compliance program, failures to comply with applicable Federal or State law, and other types of misconduct threaten a facility’s status...
F. Auditing and Monitoring
The OIG believes that an effective program should incorporate thorough monitoring of its implementation and an ongoing evaluation process. The compliance officer should document this...
E. Developing Effective Lines of Communication
1. Access to the Compliance Officer In order for a compliance program to work, employees must be able to ask questions and report problems. The...
D. Conducting Effective Training and Education
The proper education and training of corporate officers, managers, and health care professionals, and the continual retraining of current personnel at all levels, are critical...
C. Designation of a Compliance Officer and a Compliance Committee
1. Compliance Officer Every nursing home provider should designate a compliance officer to serve as the focal point for compliance activities.79 This responsibility may be the...
B. Written Policies and Procedures
Every compliance program should develop and distribute written compliance standards, procedures, and practices that guide the nursing facility and the conduct of its employees throughout...