tci Medicare Compliance & Reimbursement - 2016 Issue 13

Compliance: Your Top Priority: An Airtight Practice Compliance Program

Reductions in fines tops the list of benefits. If your practice participates in Medicare or Medicaid, then heed what the HHS Office of Inspector General (OIG) has planned, as it could save you in a touch-and-go situation. OIG has set forth new criteria for its determination of permissive exclusion from federal and state healthcare programs. In order for providers “to reap the mitigation benefits of having a compliance program, for instance, receive substantive reductions in fines for violations of criminal law, the program must incorporate all of the elements from the U.S. Federal Sentencing Guidelines,” says...

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