decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Investigation Procedures / Administrative, Civil and Criminal Sanctions / Administrative, Civil and Criminal Sanctions
Subscribe or sign in to view the full article.
Article Overview
This page summarizes Office of Inspector General material on how special agents are instructed to think about administrative, civil, and criminal sanctions involving health care providers. It is relevant to compliance, billing, and fraud-and-abuse professionals who want a high-level view of the topics covered in the agency guidance, including exclusions, reinstatement, and civil monetary penalties.
Why This Topic Matters
Understanding the scope of OIG sanction guidance helps compliance and revenue cycle teams know which enforcement topics are addressed in the underlying handbook and where more detailed premium content may be useful.
Article Sections
-
Overview of OIG sanction procedures
Introduces the agency guidance and explains the general sanction areas covered for health care providers.
-
Topic areas included
Lists the broad subject areas addressed in the handbook, including administrative sanctions, exclusion, reinstatement, and civil money penalties.
-
Relationship to the Fraud & Abuse Answer Book and Special Agent Handbook
Describes how this material relates to other reference sections and notes the handbook's broader explanatory purpose.
What You Will Learn
- Which broad sanction topics are addressed in the OIG guidance
- How the article frames exclusion and reinstatement as part of the enforcement landscape
- How the handbook is positioned relative to other fraud-and-abuse reference material
- Why the source is useful for understanding agency enforcement perspective
Who Should Read This
- Compliance professionals
- Medical coders
- Billing specialists
- Revenue cycle staff
- Fraud and abuse investigators
- Health care administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com