Medicaid/ OIG Compliance Program Manual for Individual and Small Group Physician Practices

Section 6401 of the Affordable Care Act (“Obamacare”) requires healthcare providers and organizations that receive reimbursement directly or indirectly from Medicare, Medicaid (and other government healthcare programs including Medicare Advantage) to implement and maintain a compliance program that includes the OIG Compliance Guidelines (for Individual and Group Physician Practices and/or for Third-Party Billing Companies) depending on the practice/organization’s type, size and risks. Review the provider enrollment agreement you/your dentist signed to credential/re-credential with Medicare, Medicaid or other government healthcare programs. You will find you/your dentist attested to the government your practice/organization has an OIG compliance program like the one outlined below. If you don’t have one, it is high time you make it happen before you get busted for falsifying a government document, which is a crime (even if you didn’t realize you did it). The government does not tolerate