Compliance Resources

Internal Resources:

• UNM Office of Compliance, Ethics and Equal Opportunity
• HSC Compliance Office

• Policy Manager

External Resources:

CMS Links:

• Centers for Medicare and Medicaid (CMS)
• Get Trained by CMS
• Internet-Only Manuals (IOMs)
• Medicare Fee-for-Service Compliance Programs
• CMS Regulations & Guidance
• Medicare Quarterly Provider Compliance Newsletter
• CMS Physician Self-Referral
• Medicare Fee for Service Payment Regulations
• Legislative Update
• CMS Rulemaking

The Federal Register of Agency Rules, Proposed Rules, and Public Notices:

• 2023 Federal Register Index

State of New Mexico Links:

• NM Medical Review Commission
• State Auditor’s Office
• New Mexico State Attorney General

Office of Inspector General (OIG) Links:

• US Office of Inspector General (OIG)
• Compliance 101 and Provider Training
• Compliance Guidance
• Corporate Integrity Agreements
• Exclusions Program

Novitas:

• Novitas-Solutions
• Historical Targeted Probe and Educate (TPE) Reviews

The Joint Commission Links:

• The Joint Commission

Health Care Organizations Links:

• American Health Information Management Association
• American Hospital Association
• Health Care Compliance Association (HCCA)
• Healthcare Financial Management Association
• ICD-10
• National Association for Home Care