decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
OIG Investigation Procedures / Investigative Procedures / Investigative Procedures
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Article Overview
This chapter provides a high-level look at the investigative procedures followed by OIG special agents in cases involving suspected provider fraud and abuse. It is useful for readers who want to understand the scope of OIG investigative practice, the role of special agents, and the broader compliance and enforcement context without delving into operational details.
Why This Topic Matters
Understanding OIG investigative procedures helps compliance, billing, and legal teams recognize how fraud-and-abuse investigations are framed and why adherence to program rules and documentation standards matters.
What You Will Learn
- The general purpose of the chapter
- The role of OIG special agents in investigations
- The compliance and enforcement context surrounding provider fraud and abuse investigations
- The training background of special agents mentioned in the chapter
Who Should Read This
- Compliance professionals
- Medical coders
- Billing staff
- Healthcare administrators
- Legal and audit professionals
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