decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Investigation Procedures / Administrative, Civil and Criminal Sanctions / Administrative Sanctions for Health Care Providers / Notice of Possible Court Action
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Article Overview
This premium article covers OIG investigation procedures within the context of administrative, civil, and criminal sanctions for health care providers. It focuses on what OIG personnel are instructed to do when a provider may seek court action related to a sanction, including advance notification, coordination with government counsel, and memorializing the communication for the appropriate files and offices. The article is relevant to compliance professionals, investigators, and provider-side staff who need to understand the administrative handling of potential litigation activity.
Why This Topic Matters
Understanding the OIG’s procedural expectations helps ensure communications are properly routed, the government is represented appropriately, and internal records are maintained consistently when court action is contemplated.
What You Will Learn
- How OIG handles notice that a provider may pursue court action related to a sanction.
- What advance notification is expected when a court filing may occur.
- What documentation and distribution steps are required after the provider raises the possibility of court action.
- The roles of OIG offices and the U.S. Attorney in the notification process.
Who Should Read This
- Health care compliance professionals
- OIG investigators
- Provider legal and administrative staff
- Healthcare attorneys
- Revenue integrity and audit teams
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