decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Voluntary Disclosure Program / Disclosure Alternatives
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Article Overview
This article explains general considerations for responding to discovered overpayments or other billing concerns when voluntary disclosure is being weighed against other disclosure alternatives. It is aimed at providers, billing staff, compliance professionals, and counsel who need a broad understanding of where to direct disclosures, what categories of issues may belong with different authorities, and what supporting information is typically discussed in a disclosure communication.
Why This Topic Matters
Handling billing problems promptly can affect compliance, audit exposure, and the organization’s approach to correcting claims. The article helps readers understand the broad disclosure landscape and the kinds of parties and issues that may be involved.
What You Will Learn
- How disclosure alternatives are framed when billing problems or overpayments are identified
- Which categories of issues may be directed to different types of authorities
- What kinds of information are generally discussed in a disclosure letter
- How providers may think about documenting and correcting discovered claim issues at a high level
Who Should Read This
- Healthcare providers
- Medical billing and coding staff
- Compliance professionals
- Healthcare attorneys
- Revenue cycle managers
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