decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
OIG Investigation Procedures / Collectibility / Confrontation Interviews
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Article Overview
This premium article explains a specific Office of Inspector General investigative procedure within civil money penalty cases. It is aimed at compliance staff, auditors, investigators, and coding/billing professionals who need to understand the broader process used in program integrity matters. The content discusses when the interview process applies, the exceptions tied to prior criminal proceedings, and the administrative purpose of gathering and clarifying information.
Why This Topic Matters
Understanding this procedure helps readers recognize a step in enforcement and investigation workflows that may affect case development, documentation, and interactions with providers.
What You Will Learn
- When a confrontation interview is generally used in civil money penalty cases
- How prior conviction status affects the interview process
- Why investigators conduct the interview and what they are trying to clarify
- The types of administrative information that may be gathered during the interview
Who Should Read This
- Compliance professionals
- Health care investigators
- Auditors
- Billing and reimbursement staff
- Risk management teams
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