decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Investigation Procedures / Civil Money Penalties Law / Civil Money Penalties Law
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Article Overview
This premium article explains the OIG’s use of civil money penalties authority within Medicare and Medicaid enforcement. It covers the broad legal context, the agencies involved, and the categories of claims and provider conduct that can trigger penalties, assessments, and exclusion from federal and state health care programs. The content is intended for readers who need a high-level understanding of program integrity enforcement and related compliance implications.
Why This Topic Matters
Understanding civil money penalties authority helps compliance, billing, audit, and legal professionals recognize the enforcement framework used in federal health care program integrity matters.
What You Will Learn
- How civil money penalties fit into OIG enforcement activities
- What types of Medicare and Medicaid claim issues are discussed
- How penalties, assessments, and exclusion relate to program integrity
- Which broad provider and claim situations are addressed under the article’s overview
Who Should Read This
- Medical coders
- Compliance professionals
- Billing specialists
- Healthcare auditors
- Healthcare attorneys
- Practice managers
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