decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Investigation Procedures / Collectibility / Preparation and Conduct
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Article Overview
This premium article explains how investigators prepare for and conduct provider interviews in OIG investigations. It focuses on interview logistics, provider notification, use of witnesses, background information gathering, and general areas of inquiry related to billing irregularities, liability exposure, and ability to pay. It is intended for compliance, auditing, legal, and health care administrative audiences who work with government program integrity matters.
Why This Topic Matters
Understanding the interview process helps organizations and professionals anticipate what information may be requested during an OIG investigation and prepare appropriately for provider interactions. The article is useful for teams involved in compliance, reimbursement, legal response, and administrative support.
What You Will Learn
- How OIG interview preparation is organized
- What kinds of background information investigators may gather
- How witness involvement may fit into an interview
- Which broad topics are typically covered during provider questioning
- How collectibility-related information is addressed in the investigation context
Who Should Read This
- Compliance professionals
- Medical practice administrators
- Health care attorneys
- Billing and reimbursement staff
- Audit and fraud investigators
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