decisionhealth Newsletters, Part B News - 2008 Issue 4 (April)
4 actions to take when you self-disclose
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Article Overview
This article covers HHS OIG guidance on self-disclosure under the Provider Self-Disclosure Protocol, with emphasis on what a practice should prepare when returning an overpayment. It is relevant to compliance staff, billing and coding teams, and health care administrators who handle audits, internal review, and disclosure decisions. The article focuses on the broad information OIG expects in an initial disclosure, along with the role of investigation, damages assessment, and legal review.
Why This Topic Matters
Self-disclosure is a compliance-sensitive process that can affect how a practice responds to overpayments and potential legal exposure. Understanding OIG’s general expectations helps organizations prepare a more complete disclosure package and coordinate the right internal and legal resources.
What You Will Learn
- What the HHS Office of Inspector General expects in a Provider Self-Disclosure Protocol submission
- Why an internal investigation may be part of the disclosure process
- What kinds of information should be assembled before making an initial disclosure
- Why damages assessment and legal review can matter in a self-disclosure context
Who Should Read This
- Medical practice administrators
- Compliance officers
- Billing staff
- Coding staff
- Health care attorneys
- Revenue cycle teams
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