OMIG Posts ‘Compliance Program Review Guidance’

Nancy Leveille and Carl Pucci in Clinical & Quality, Finance & Reimbursement

OMIG just posted a copy of their “Compliance Program Review Guide. This is a 33-page document that reviews each of the 8 elements required for compliance and how each will be monitored. The 8 elements are as follows: 

  1. Written policies and procedures
  2. Designate an employee vested with responsibility
  3. Training and education
  4. Lines of communication to the responsible compliance position
  5. Disciplinary policies to encourage good faith participation
  6. A system for routine identification of compliance risk areas
  7. A system for responding to compliance issues
  8. A policy of non-intimidation and non-retaliation

At the end of each year (Dec 31st and Jan 1st) each SNF must attest to their compliance program and implementation process. This guidance with assist with assessing your current program against OMIG’s expectation. NYSHFA will send out more information on completing the attestation forms for this year as soon as OMIG and DOH update them in early December.

NYSHFA CONTACT

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Carl J. Pucci
Finance & Reimbursement
518-462-4800 x36