decisionhealth Newsletters, Answer Books - 2010 Issue 10 (October)
Voluntary Disclosure Program / CMS unveils procedures for self-disclosing Stark violations
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Article Overview
This article discusses CMS’s Voluntary Self-Referral Disclosure Protocol for providers and organizations that need to report potential Stark law concerns. It explains the purpose of the protocol, the submission process, the types of information CMS expects, and the broader compliance context, including overpayment reporting timing and possible factors CMS may consider when evaluating a disclosure. The piece is relevant to compliance, legal, and revenue integrity teams that handle physician referral arrangements and self-disclosure decisions.
Why This Topic Matters
Understanding the CMS disclosure framework helps organizations assess reporting obligations, document internal findings, and manage compliance risk when potential Stark issues or related overpayments are identified.
What You Will Learn
- The purpose of CMS’s voluntary self-referral disclosure process
- What general information is expected in a Stark-related disclosure
- How the protocol relates to overpayment reporting timing
- What broad factors may be considered in evaluating a disclosure
Who Should Read This
- Compliance officers
- Healthcare attorneys
- Revenue integrity teams
- Physician practice administrators
- Hospital compliance staff
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