• Tuesday, February 21, 2012RSS Feed

    OIG Podcast: Self-disclosing Violations

    A new podcast from the US Department of Health and Human Services' Office of Inspector General (OIG) outlines what physical therapists and other health care providers should do when they discover that they may have violated federal fraud and abuse laws. According to OIG's Provider Self-Disclosure Protocol, a provider should:

    1. Clarify the issue and confirm that it is a potential fraud issue. Issues that are only overpayments or innocent mistakes can be reported to a Medicare contractor through the normal refund process.
    2. Consult with a health care attorney who has experience dealing with federal health care programs. He or she will be helpful in confirming that there is a problem and what the options are for reporting it.
    3. Decide where to disclose the conduct. Disclosure to the local US Attorneys' Office may be appropriate depending on the conduct. Also, the Centers for Medicare and Medicaid Services has created a disclosure process specifically for Stark law violations.

    The podcast also gives tips on how to make a protocol resolution process go smoothly.

    A written transcript and video accompany the podcast. 


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