decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Investigation Procedures / Collectibility / Evaluation of Financial Condition
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Article Overview
This article covers the OIG investigation process for assessing collectibility by reviewing a provider’s financial condition early in an investigation and, when appropriate, considering a more detailed voluntary financial statement. It is intended for compliance, audit, and investigative professionals who need to understand the general categories of financial information reviewed during case development and negotiation.
Why This Topic Matters
Financial condition can affect whether a case is developed further and how a matter is evaluated during referral and negotiation. Understanding the scope of the collectibility review helps readers recognize what types of financial information may be considered in an OIG investigation.
Article Sections
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Collectibility / Evaluation of Financial Condition
This section discusses the role of a provider’s financial condition in the collectibility review during an investigation. It outlines the broad categories of financial information considered early in the process and mentions the option for a voluntary detailed financial statement.
What You Will Learn
- How collectibility fits into the OIG investigation process
- What broad categories of financial information may be reviewed
- When a voluntary detailed financial statement may be requested or submitted
- How financial condition can factor into case development and referral
Who Should Read This
- Compliance professionals
- Healthcare auditors
- Medical practice administrators
- Investigative staff
- Healthcare attorneys
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