According to the OIG, what is a warning sign that noncompliance may exist?

A significant change in rejection types serves as a warning sign that noncompliance may exist because it indicates a potential issue with the claims being submitted for reimbursement. An increase in specific rejection types may suggest that there is a systemic problem in the coding or documentation processes, which could point to errors or inconsistencies in how services are documented or billed. This could also be an indication of inadequate compliance training or oversight within the organization.

Monitoring changes in rejection types allows compliance officers and healthcare administrators to identify and investigate potential areas of risk, enabling them to implement corrective measures before the issues escalate further. This proactive approach helps maintain adherence to regulations and reduces the likelihood of financial penalties or legal issues associated with noncompliance.

In contrast, the other options do not inherently indicate noncompliance. For example, an increase in patient satisfaction scores may suggest improved services or care. Higher staff turnover rates can often result from various organizational changes or dynamics and might not reflect compliance issues directly. Similarly, expanded office hours might indicate a commitment to patient access rather than a sign of noncompliance.