BC Advantage - 2015 Issue 3

Understanding How to Respond to a Visit From an Investigator

Introduction:As the government and private payors continue to invest resources into combatting fraud and abuse in the healthcare system, many practices are being faced with unexpected visits from state and federal government and private investigators, including but not limited to investigators from the Office of the Inspector General (OIG), Medicare and Office of the Medicaid Inspector General (OMIG), Internal Revenue Services (IRS), Office of Civil Rights (OCR), and Occupational Safety and Health Administration (OSHA).  In the event one of these investigators decides to make a visit to your office, it is imperative to understand how you and your...

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