decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Voluntary Disclosure Program / Initial Steps
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Article Overview
This article outlines the initial decision points for providers considering the OIG Self-Disclosure Protocol, including when to contact the OIG, when to pause internal investigation steps, and when issues should instead be handled as overpayments or claim errors. It is relevant to compliance officers, billing and coding staff, audit teams, and providers who need to understand the general framework for voluntary disclosure and escalation of suspected problems.
Why This Topic Matters
Understanding the first steps matters because the timing and characterization of a suspected issue can affect how it is handled, who should be contacted, and how the matter may be viewed later in a compliance or enforcement context.
What You Will Learn
- How the article frames the initial provider decision to use the OIG Self-Disclosure Protocol
- What types of issues the protocol is intended to address at a general level
- How the article distinguishes potential disclosure matters from ordinary overpayment or claim error issues
- Why the timing of contact with the OIG is emphasized in the article
Who Should Read This
- Providers
- Compliance officers
- Billing and coding staff
- Internal audit teams
- Healthcare administrators
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