The Office of Inspector General (OIG) published guidance in 2000 and supplemental guidance in 2008 on the implementation of effective compliance programs for Nursing Homes. The Patient Protection and Affordable Care Act of 2010 ("PPACA") includes mandatory Compliance and Ethics Program Requirements for Nursing Home Providers. Each nursing home must have a compliance and ethics program in operation by March 23, 2013. The program must be "effective in detecting and preventing criminal, civil, and administrative violations" and "in promoting quality of care."
This website is intended to outline the elements of Gundersen Harmony's compliance program with policies and procedures for detecting and preventing fraud, waste and abuse.
CMS Medicare Advantage and Prescription Drug Training Requirements for Vendors
Because Gundersen Harmony Care Center contracts with insurance companies providing Medicare Advantage and/or Prescription Drug (MA-PD) plan coverage to Medicare beneficiaries, we are required by the Centers for Medicare and Medicaid Services (CMS) to make the following CMS training programs available to our vendors. To comply with CMS requirements, we encourage you and your staff to complete the above referenced training programs.
For additional information or questions regarding Gundersen Harmony's compliance program please contact the Compliance Officer, at (507) 886-6544.