Category: OIG Guidance and Reports

G. Enforcing Standards Through Well-Publicized Disciplinary Guidelines

1. Disciplinary Policy and Enforcement An effective compliance program should include disciplinary policies that set out the consequences of violating the nursing facility’s standards of...

Developing the Compliance Program Guidance for Pharmaceutical Manufacturers

On June 11, 2001, the OIG published a solicitation notice seeking information and recommendations for developing compliance program guidance for the pharmaceutical industry (66 FR...

Background

SUPPLEMENTARY INFORMATION: Compliance program guidance is a major initiative of the OIG in its effort to engage the health care community in preventing and reducing...

OIG Compliance Program Guidance for Pharmaceutical Manufacturers

Dated: April 18, 2003.Elizabeth M. Duke,Administrator.[FR Doc. 03–10934 Filed 5–2–03; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of Inspector General...

Appendix A-Additional Risk Areas

1. ‘‘No Transport’’ Calls and Pronouncement of Death If an ambulance supplier responds to an emergency call, but a patient is not transported due to...

VI. Conclusion

This ambulance compliance program guidance is intended as a resource for ambulance suppliers to decrease the incidence of fraud and abuse as well as errors...

V. Kickbacks and Inducements

A. What Is the Anti-Kickback Statute? The anti-kickback statute prohibits the purposeful payment of anything of value (i.e., remuneration) in order to induce or reward...

IV. Medicaid Ambulance Coverage

The Medicaid program, a joint federal and state health insurance program, provides funds for health care providers and suppliers that perform or deliver medically necessary...

III. Specific Fraud and Abuse Risks Associated With Medicare Ambulance Coverage and Reimbursement Requirements

Ambulance suppliers should review and understand applicable ambulance coverage requirements. Ambulance suppliers that are not complying with applicable requirements should take appropriate, prompt corrective action...

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