Compliance Perspectives

By Adam Turteltaub In addition to releasing its General Compliance Program Guidance, the OIG at HHS announced plans to publish a series of Industry Segment-Specific Compliance Program Guidances (ICPG). The first of these, addressing nursing facilities, was released in November 2024. As CJ Wolf, Professor in healthcare Administration at BYU Idaho explains in this podcast, the first ICPG is instructive both for skilled nursing facilities (SNFs) and those looking to anticipate what will be coming in future ICPGs. Currently, three more are expected to be published in 2025: Medicare Advantage, hospital and clinical laboratories. Two additional ICPGs – pharmaceutical manufacturers and hospice – are also planned, but with a publication date as yet to be determined. There are several notable elements to the SNF ICPG. First, it interlinks compliance, quality of care and quality of life for patients. Second, there is an entire supplement focused on reimbursement, raising the scrutiny level of billing compliance. It