OIG Guidance Has Nursing Home Corporate Compliance – And ‘Tunneling’ – in its Crosshairs
Skilled Nursing News December 3, 2024
Federal agencies are honing in on ownership transparency and corporate-level compliance, most recently with the Office of Inspector General (OIG) citing concerns about certain practices that allow nursing homes to hide profits.
OIG’s latest guidance focuses on the practice of “tunneling,” which refers to the misrepresentation or concealment of profitability in payments to related parties, oftentimes ancillary businesses. The watchdog agency said individuals tied to related-party transactions may be engaging in tunneling, enriching nursing home owners, operators and investors while resident care suffers.
To that end, the Nursing Facility Industry Segment-Specific Compliance Program Guidance (ICPG) issued by OIG in November serves as the agency’s updated and centralized source of voluntary compliance for nursing homes. And while the OIG guidance doesn’t...