Advisory Opinion Procedures / Anti-Kickback Statute Advisory Opinion Procedures / Rules and Information for Submitting a Formal Request

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers the procedural requirements for submitting a formal advisory opinion request to the Office of Inspector General, including the required written format, supporting documentation, party and contact information, certifications, and payment submission. It is relevant to compliance staff, providers, legal counsel, and billing or reimbursement professionals who need to understand the administrative requirements for an OIG advisory opinion request and the general information that must accompany it.

Why This Topic Matters

Knowing the formal request requirements helps organizations prepare a complete submission and avoid delays in the OIG advisory opinion process.

What You Will Learn

  • What information must accompany a formal advisory opinion request
  • What types of documents and disclosures are part of the submission packet
  • Which parties and organizational details must be identified in the request
  • What administrative items are required for filing
  • How the OIG expects a request to be organized at a high level

Who Should Read This

  • Compliance officers
  • Healthcare attorneys
  • Provider organizations
  • Billing and reimbursement staff
  • Risk management teams

Code Ranges Discussed

  • CFR: 42 CFR §1008.36

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