To help health care providers such as hospitals and physicians comply with relevant Federal health care laws and regulations, OIG creates compliance resources, which are often tailored to particular providers.
OIG's compliance documents include special fraud alerts, advisory bulletins, podcasts, videos, brochures, and papers providing guidance on compliance with Federal health care program standards. OIG also issues advisory opinions, which cover the application of the Federal anti-kickback statute and OIG's other fraud and abuse authorities to the requesting party's existing or proposed business arrangement.
The Office of Inspector General (OIG) for the U.S. Department of Health & Human Services has created the educational materials to assist in teaching physicians about the Federal laws designed to protect the Medicare and Medicaid programs and program beneficiaries from fraud, waste, and abuse.
General Compliance Program GuidanceThe General Compliance Program Guidance (GCPG) is a reference guide for the health care compliance community and other health care stakeholders. The GCPG provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other information useful to understanding health care compliance.
Single AuditsThis section serves as an educational resource for recipients of Federal financial assistance, Federal program officials, and members of the audit community to strengthen their understanding of the scope, and improve the quality, of Single Audits.
Advisory OpinionsHHS-OIG issues advisory opinions about the application of certain fraud and abuse enforcement authorities to the requesting party’s existing or proposed business arrangements.
Voluntary ComplianceHHS-OIG has several self-disclosure processes that can be used to report potential fraud in HHS programs.
AI/AN TrainingsThis online training series includes web-based trainings, job aids, and videos for grantees and health care providers who serve AI/AN communities to learn more about compliance; fraud, waste, and abuse; and health care quality. These trainings are free and provide information and tools that you can apply to help ensure your organization provides quality services to your community and complies with applicable statutes, regulations, and program requirements.
HHS-OIG has created several toolkits to help providers ensure they are in compliance with health care laws.
Health Care Boards promote economy, efficiency, and effectiveness. These resources discuss how boards can enhance compliance through involvement in oversight activities as well as by integrating compliance throughout their businesses.
As part of the Health Care Fraud Prevention and Enforcement Action Team (HEAT) Provider Compliance Training, these resources instruct providers what do do when a compliance issue arises.
The Inspector General occasionally issues letters to health care providers alerting them to OIG policies and processes; inviting them to engage in our anti-fraud initiatives; and updating them on our ongoing projects to fight fraud, waste, and abuse in Federal health programs.
A series of voluntary compliance program guidance documents directed at various segments of the health care industry
Rules relating to payment and business practices that do not implicate the federal anti-kickback statute
These educational materials were current at the time they were published and posted to OIG's Web site. They were prepared as educational resources; they are not intended to create any rights, privileges, or benefits. Although every reasonable effort has been made to ensure the accuracy of the information within these materials, the ultimate responsibility for complying with the Federal fraud and abuse laws lies with the provider of services. OIG employees, agents, and staff make no representation, warranty, or guarantee that these compilations of information are error free and will bear no responsibility or liability for the results or consequences of their use. These materials are summaries that explain certain aspects of the Federal fraud and abuse laws, but are not legal documents. The official information is contained in the relevant laws and regulations.