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Our
Location & Maps
Our address is
8930 SW Gemini Drive,
Beaverton, OR 97008.
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Last Updated on:
07/09/08
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Draft
OIG Compliance Program Guidance for
Nursing Facilities
The
Office of Inspector General (OIG) published draft Compliance Program guidance
for nursing facilities in the October 29, 1999 Federal Register.
The OIG believes that a comprehensive compliance program will reduce
fraud and abuse and, therefore, the costs of healthcare.
The seven components recommended are:
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The
development and distribution of written standards of conduct, as well as
written policies, procedures and protocols
that promote the nursing facility's commitment to compliance and address
specific areas of potential fraud and abuse, such as claims development and
submission processes, quality of care issues facing residents, and financial
arrangements with physicians and outside contractors that may affect the
health care provided to beneficiaries.
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The
designation of a compliance officer
and other appropriate bodies charged with the responsibility for developing,
operating and monitoring the compliance program, and who reports directly to
the owner(s), governing body and/or CEO.
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The
development and implementation of regular,
effective education and training programs
for
all affected employees.
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The creation and
maintenance of an effective line of communication between the compliance
officer and all employees, including a process, such as a hotline or other
reporting system, to receive complaints, and the adoption of procedures to
protect the anonymity of complainants and to protect whistle blowers from
retaliation.
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The
use of audits
and/or
other risk evaluation techniques to monitor compliance, identify problem
areas, and assist in the reduction of identified problems.
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The development of policies
and procedures addressing the non-employment or retention of excluded
individuals or entities; and the enforcement of appropriate disciplinary
action against employees or contractors who have violated corporate or
compliance policies and procedures, applicable statutes, regulations, or
Federal, State, or private payer health care program requirements.
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The
development of policies and procedures with respect to the investigation of
identified systematic problems.
Hansen,
Hunter & Company has two RNs on staff (Joy
Morrow and Louise Larson) to help
with items 3 (regular education programs) and 5 (the use of audits).
Please contact Jeff Moore if you
would like further information on these services.
 
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