No Longer an Option: Feds Now Require Antifraud Compliance Plan
The U.S. Department of Health and Human Services Office of Inspector General (OIG) used to encourage physicians in Medicare and Medicaid to adopt voluntary compliance programs. But now it's the law. Under the Patient Protection and Affordable Care Act (PPACA), compliance programs are no longer voluntary. As a condition of enrollment in federal health programs, including Medicare and Medicaid, the health system reform law requires physicians to establish a compliance program that features specific core elements.