tci Medicare Compliance & Reimbursement - 2023 Issue Q2
Compliance: Get Ready for an Overhaul of OIG’s Compliance Guidance
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Article Overview
This article covers an HHS Office of Inspector General notice announcing a planned overhaul of its compliance program guidance framework. It describes the move toward a general guidance document and multiple industry-specific documents, the anticipated timing of the rollout, and the broader compliance implications for healthcare organizations and stakeholders who follow federal fraud, waste, and abuse guidance.
Why This Topic Matters
The update signals changes in how OIG will publish and revise compliance guidance, which matters to healthcare organizations that monitor federal compliance expectations and enforcement trends.
Article Sections
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Old way
Summarizes the prior structure of OIG compliance program guidance and the historical provider types it covered over time.
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New way
Introduces the planned new compliance guidance framework and the broad categories of subjects the general and industry-specific documents are intended to address.
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Timeline 1
Provides the expected publication timing for the general guidance document.
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Timeline 2
Describes the anticipated rollout schedule for the industry-specific guidance documents and identifies the first expected focus areas.
What You Will Learn
- How OIG is changing the structure of its compliance program guidance
- What broad topics the new general guidance is expected to cover
- How the industry-specific guidance documents are intended to differ from the general guidance
- When OIG expects to begin releasing the new guidance documents
- Why healthcare organizations may need to monitor updates more frequently
Who Should Read This
- Healthcare compliance professionals
- Healthcare attorneys
- Provider organizations
- Medical practice administrators
- Health plan compliance teams
- Fraud and abuse monitoring staff
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