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Compliance 101 | Compliance | Office of Inspector General | U.S. Department of Health and Human Services

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id="mainBody"> <div id="leftSideInterior"> <div id="breadcrumbs"> <ul> <li> <a href="/web/20140705061404/https://oig.hhs.gov/">Home</a> </li> <li><a href="/web/20140705061404/https://oig.hhs.gov/compliance/">Compliance</a></li> <li>Compliance 101</li> </ul> </div> <div id="leftContentInterior"> <div style="position:relative;"> <div class="twitter tweet-this"> <a data-text="Free educational resources for an an effective compliance program that identifies problems upfront and helps you address them before they become systemic and costly" class="twitter-share-button" data-count="horizontal" data-via="oigathhs" href="https://web.archive.org/web/20140705061404/https://twitter.com/share">Tweet</a><script type="text/javascript" src="//web.archive.org/web/20140705061404js_/https://platform.twitter.com/widgets.js"></script> </div> </div> <h1 style="margin-bottom:5px;">Compliance Education Materials</h1> <p><img class="clean" src="/web/20140705061404im_/https://oig.hhs.gov/compliance/101/images/101-banner.jpg" alt="Compliance 101"/></p> <p>Welcome to OIG's Compliance 101 Web page. OIG developed the free educational resources listed on this Web page to help health care providers, practitioners, and suppliers understand the health care fraud and abuse laws and the consequences of violating them. These compliance education materials can also provide ideas for ways to cultivate a culture of compliance within your own health care organization. </p> <h2>General Compliance Education Materials</h2> <h3>Compliance Program Guidance</h3> <p>OIG has developed a series of voluntary compliance program guidance documents directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers, to encourage the development and use of internal controls to monitor adherence to statutes, regulations, and program requirements. The documents provide principles to follow when developing a compliance program that best suits your organization's needs. The documents also identify fraud and abuse risks to watch out for when creating a program.</p> <ul> <li><a href="/web/20140705061404/https://oig.hhs.gov/compliance/compliance-guidance/index.asp">Compliance Guidance</a></li> </ul> <h3>Provider Compliance Training</h3> <p><img class="r" src="/web/20140705061404im_/https://oig.hhs.gov/newsroom/widgets/images/compliance-widget.png" alt="Compliance training widget"/>Below are links to free training for health care providers, compliance professionals, and attorneys. OIG's Provider Compliance Training was an outreach initiative developed as part of HHS's and the U.S. Department of Justice's Health Care Fraud Prevention and Enforcement Action Team.</p> <ul class="tight-list"> <li><a href="/web/20140705061404/https://oig.hhs.gov/newsroom/video/2011/heat_modules.asp">Videos and Audio Podcasts</a></li> <li><a href="/web/20140705061404/https://oig.hhs.gov/newsroom/video/2011/heat_modules.asp#modules">Webcast</a></li> <li><a href="/web/20140705061404/https://oig.hhs.gov/compliance/provider-compliance-training/index.asp#materials">Presentation Materials</a></li> </ul> <h3 id="hcca">Inspector General Discusses the Importance of Health Care Compliance</h3> <p><img class="r" src="/web/20140705061404im_/https://oig.hhs.gov/compliance/101/images/levinson-2012.jpg" width="181" alt="Dan Levinson"/>Inspector General Daniel Levinson outlines important compliance issues for health care providers before the Health Care Compliance Association.</p> <ul class="tight-list"> <li><a href="/web/20140705061404/https://oig.hhs.gov/newsroom/video/index.asp#levinson-hcca12">2012 Health Care Compliance Association Compliance Institute Keynote Address</a></li> <li><a href="/web/20140705061404/https://oig.hhs.gov/newsroom/video/index.asp#levinson-orlando">2011 Health Care Compliance Association Compliance Institute Keynote Address</a></li> <li><a href="/web/20140705061404/https://oig.hhs.gov/testimony/docs/2010/HCCAIGKeynoteSummary.pdf" target="_blank">Summary of IG 2010 Compliance Keynote Address to the Health Care Compliance Association</a> <ul> <li><a href="/web/20140705061404/https://oig.hhs.gov/testimony/docs/Qs_for_compliance_professionals.pdf" target="_blank">Some Questions Compliance Professionals Should Ask As They Prepare<br/>for Health Care Reform</a></li> </ul></li> </ul> <h2>Compliance Education Materials for Health Care Boards</h2> <p><img class="r" src="/web/20140705061404im_/https://oig.hhs.gov/compliance/101/images/boards.png" width="170" alt="A meeting table"/>Because of their oversight responsibilities, boards of directors have a unique opportunity to influence their health care organizations to promote quality of care and embrace compliance with the law. These resources can help directors, who may not be lawyers or health care providers, create a corporate culture that promotes high-quality care and embraces compliance with the law.</p> <ul class="tight-list"> <li><a href="/web/20140705061404/https://oig.hhs.gov/compliance/compliance-guidance/compliance-resource-material.asp#hcb">Compliance Resources for Health Care Boards</a></li> <li>Video and Presentation Materials: <a href="/web/20140705061404/https://oig.hhs.gov/newsroom/video/2011/heat_modules.asp#hcb-guidance">Guidance for Health Care Boards</a></li> <li>Video: <a href="/web/20140705061404/https://oig.hhs.gov/newsroom/video/index.asp#hcl">Compliance Oversight for Health Care Leaders</a></li> </ul> <h2>Compliance Education Materials for Physicians</h2> <p><img class="r" src="/web/20140705061404im_/https://oig.hhs.gov/compliance/physician-education/images/phys_training_promo.png" alt="Brochure cover"/>These educational materials assist in teaching physicians about the Federal laws designed to protect Medicare and Medicaid and program beneficiaries from fraud, waste, and abuse. The materials summarize the five most important Federal fraud and abuse laws that apply to physicians and provide tips on how physicians should comply with these laws in their relationships with payers, vendors, and fellow physicians and other providers.</p> <ul> <li><a href="/web/20140705061404/https://oig.hhs.gov/compliance/physician-education/index.asp">A Roadmap for New Physicians</a></li> <li><a href="/web/20140705061404/https://oig.hhs.gov/compliance/101/cme.asp">Earn Continuing Medical Education Category 1 Credit</a> <ul> <li><a href="/web/20140705061404/https://oig.hhs.gov/compliance/101/cme.asp#safeguarding">Safeguarding Your Medical Identity</a></li> <li><a href="/web/20140705061404/https://oig.hhs.gov/compliance/101/cme.asp#avoiding">Avoiding Medicare Fraud and Abuse</a></li> </ul> </li> </ul> <h2 id="badad">FDA Compliance Education on Prescription Drug Advertising and&nbsp;Promotion</h2> <img class="r" width="170" src="https://web.archive.org/web/20140705061404im_/http://www.fda.gov/ucm/groups/fdagov-public/documents/image/ucm321635.png" alt="FDA BadAd Program Brochure" title="FDA BadAd Program Brochure"/> <p>FDA's Office of Prescription Drug Promotion in the Center for Drug Evaluation and Research have developed a compliance program that focuses on educating healthcare providers about the role they can play in helping the agency make sure that prescription drug advertising and promotion is truthful and not misleading. </p> <p>The <a class="exit" href="https://web.archive.org/web/20140705061404/http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Surveillance/DrugMarketingAdvertisingandCommunications/ucm209384.htm">FDA "Bad Ad" program</a> includes a <a class="exit" href="https://web.archive.org/web/20140705061404/http://www.sigmatech.com/BadAd/">CME/CE e-learning course</a> and <a class="exit" href="https://web.archive.org/web/20140705061404/http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Surveillance/DrugMarketingAdvertisingandCommunications/ucm368438.htm">case studies</a> to raise healthcare providers and students' awareness of misleading prescription drug promotion and other common regulatory concerns.</p> <p>Healthcare providers can also report misleading prescription drug promotion activity via e-mail <a href="https://web.archive.org/web/20140705061404/mailto:BadAd@fda.gov">BadAd@fda.gov</a> or call 855-RX-BADAD.</p> <p><a class="exit" href="https://web.archive.org/web/20140705061404/http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Surveillance/PrescriptionDrugAdvertisingandPromotionalLabeling/UCM209847.pdf">FDA BadAd Program Brochure</a></p> <!-- <p>Welcome to OIG's Compliance 101 Web page. At its most basic level, a compliance program is a set of internal policies and procedures that your organization puts into place to help it comply with the law. The free educational resources listed on this Web page can help get you started - or enhance what you already know - so you can create an effective compliance program that helps identify problems upfront and do something about them before they become systemic and costly.</p> <h2>General Compliance Materials</h2> <h3>Videos and Audio Podcasts</h3> <p>These free videos and audio podcasts average about four minutes each and cover such compliance topics as major health care fraud and abuse laws, the basics of health care compliance programs, and what to do when a compliance issue arises. </p> <ul> <li><a href="/newsroom/video/2011/heat_modules.asp">HEAT Provider Compliance Training Videos</a></li> </ul> <h3>Webcast</h3> <p>Do you know what to do when a compliance issue arises? Watch one or all of 16, free individual modules of a Webcast to learn more. The Webcast featured government experts from OIG, Centers for Medicare &amp; Medicaid Services, United States Attorney's Offices, and Medicaid Fraud Control Units speaking to the reality of health care fraud and the importance of an effective compliance program.</p> <ul> <li><a href="/newsroom/video/2011/heat_modules.asp#modules">Webcast</a></li> </ul> <h3>Presentation Materials</h3> <p>A wealth of information about health care compliance is contained within the presentation materials that were used for OIG's first Webcast that educated providers and others on compliance basics. One of the most downloaded items on the OIG Website, the presentation materials are free.</p> <ul> <li><a href="/compliance/provider-compliance-training/index.asp#materials">Presentation Materials</a></li> </ul> <h3>Compliance Guidance</h3> <p>OIG has developed a series of voluntary compliance program guidances that are tailored to specific health care sectors, such as hospitals or nursing homes. The guidance documents provide principles to follow when developing a compliance program that best suits your organization's needs. The documents also identify fraud and abuse risks to watch out for when creating a program.</p> <ul> <li><a href="/compliance/compliance-guidance/index.asp">Compliance Guidance</a></li> </ul> <img class="r" src="/compliance/provider-compliance-training/images/levinson-sm.jpg" alt="Dan Levinson" /> <h3>Inspector General speaks to Health Care Compliance Association</h3> <p>Inspector General Daniel Levinson discusses the latest compliance issues in speeches before the Health Care Compliance Association.</p> <ul> <li><a href="/newsroom/video/index.asp#levinson-orlando">2011 Health Care Compliance Association Compliance Institute Keynote Address</a></li> <li><a href="/testimony/docs/2010/HCCAIGKeynoteSummary.pdf" target="_blank">Summary of IG 2010 Compliance Keynote Address to the Health Care Compliance Association</a> <ul> <li><a href="/testimony/docs/Qs_for_compliance_professionals.pdf" target="_blank">Some Questions Compliance Professionals Should Ask As They Prepare<br/>for Health Care Reform</a></li> </ul></li> </ul> <h3>Additional Resources</h3> <p>This document contains additional links to OIG resources and material from other Government agencies that may be of interest for providers and others seeking compliance information.</p> <ul> <li><a href="/compliance/provider-compliance-training/files/ListofComplianceResourcesHandoutBR508r1.pdf">Recommended Compliance Resources</a></li> </ul> <div class="contentSeparator"></div> <h2>Compliance Material: Health Care Boards</h2> <p>Because of their oversight responsibilities, boards have a unique opportunity to create systems within their organizations that can promote compliance with the law and improve patient care and safety. These resources can help board members, who may not be a lawyer or health provider, create a corporate culture focused on promoting quality of care and embracing compliance with the law.</p> <ul> <li><a href="/compliance/compliance-guidance/compliance-resource-material.asp#hcb">Health Care Boards</a></li> <li>Video: <a href="/newsroom/video/index.asp#hcl">Compliance Oversight for Health Care Leaders</a></li> </ul> <div class="contentSeparator"></div> <h2>Compliance Material: Physicians</h2> <p>These educational materials assist in teaching physicians about the Federal laws designed to protect the Medicare and Medicaid programs and program beneficiaries from fraud, waste, and abuse. The materials summarize the five main Federal fraud and abuse laws and provide tips on how physicians should comply with these laws in their relationships with payers, vendors, and fellow providers.</p> <ul> <li><a href="/compliance/physician-education/index.asp">A Roadmap for New Physicians</a></li> </ul> " Include link (maybe a clickable picture?) of Lew's video specific to health care boards. --> <div class="contentSeparator"></div> <h2>Disclaimer</h2> <p>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.</p> </div><!-- leftContentInterior --> </div> <!-- leftSideInterior ends --> <div id="rightSide"> <div id="imLookingForHeading"><span>I'm Looking For</span></div> <div id="imLookingFor"> <p>Let's start by choosing a topic</p> <div id="chooseTopic"> <a href="#">Select One </a> </div> </div><!-- imLookingFro ends --> <div id="topicSelection"> <a href="#" id="closeButton"><span>X</span></a> <ul class="leftSide"> <li> <a href="/web/20140705061404/https://oig.hhs.gov/reports-and-publications/compendium/"> <h3>Compendium</h3> <p>Priority recommendations summarized.</p> </a> </li> <li> <a href="/web/20140705061404/https://oig.hhs.gov/reports-and-publications/workplan/index.asp#current"> <h3>FY 2014 Work Plan</h3> <p>OIG projects planned for 2014.</p> </a> </li> <li> <a href="/web/20140705061404/https://oig.hhs.gov/reports-and-publications/semiannual/index.asp"> <h3>Semiannual Report</h3> <p>Significant OIG activities 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