Article
OIG releases compliance guidance for nursing facilities
Jan. 20, 2025 · Authored by Marisol Cooke, Kim Hodson
A version of this article was published in the February 2025 edition of Healthcare News.
The Office of Inspector General (OIG) issued new Nursing Facility Industry Segment-Specific Compliance Program Guidance tailored to the nursing facility industry. This update emphasizes the need for nursing facilities to strengthen their compliance efforts to align with federal and state healthcare laws and regulations.
Background
In November 2024, the Office of Inspector General released the Nursing Facility Industry Segment-Specific Compliance Program Guidance, which updates the previous nursing facility guidance issued by the OIG in 2000 and 2008.
The guidance is a companion document to the previous General Compliance Program Guidance released in November 2023, and is designed to complement the compliance program requirements of participation mandated by Medicare and Medicaid programs.
Key highlights of the guidance
The key takeaways from the guidance are new program element implementations and staff training.
Comprehensive program elements
Nursing facilities are encouraged to implement seven core elements in their compliance programs.
- Standards of conduct and written policies
- Designation of a compliance officer
- Regular employee training
- Effective lines of communication for reporting issues
- Auditing and monitoring procedures
- Enforcing compliance standards through discipline
- Corrective action plans for noncompliance
Targeted training for staff
Establish a training plan that focuses on risks identified in the nursing facility compliance guidance.
Enforcement and monitoring
Facilities must establish mechanisms to monitor compliance continuously, ensuring adherence to the latest rules governing patient care, reimbursements, and reporting.
