Voluntary Disclosure Program / Six More Reasons to Self-Disclose

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses the practical and compliance reasons a healthcare provider might consider self-disclosure through the Office of Inspector General’s voluntary disclosure process. It covers broad themes such as controlling communications, managing internal investigations, reducing organizational disruption, addressing potential whistleblower and enforcement exposure, and understanding how disclosure may affect exclusion and other penalties. It is aimed at compliance professionals, billing and coding leaders, administrators, and legal or consulting teams involved in healthcare fraud-and-abuse response.

Why This Topic Matters

Self-disclosure decisions can shape how a healthcare organization responds to compliance concerns, interacts with government investigators, and manages risk. This article helps readers understand the high-level factors that make the OIG disclosure process relevant to organizational compliance strategy.

Article Sections

  1. 1) Control the information

    This section addresses the initial advantages of managing communications within the voluntary disclosure process and preparing supporting documentation before broader government involvement.

  2. 2) Minimize expense and disruption to your organization

    This section focuses on the organizational impact of internal review and the general goal of limiting disruption and costs associated with investigations.

  3. 3) Mitigate penalties for good faith

    This section discusses the broader compliance and enforcement considerations that may be associated with cooperation and trustworthiness in the disclosure context.

  4. 4) Reduce the risks of a Qui Tam

    This section covers whistleblower-related risk in the context of healthcare fraud and abuse concerns and the timing of disclosure relative to potential legal action.

  5. 5) Reduce Criminal Prosecution

    This section reviews general federal prosecution guidance, corporate compliance considerations, and the role of cooperation in criminal enforcement risk.

  6. 6) Reduce the chances of permanent exclusion

    This section addresses the potential effect of disclosure on exclusion-related consequences and the importance of program trustworthiness in the compliance setting.

What You Will Learn

  • Why healthcare providers may consider self-disclosure to the OIG
  • How voluntary disclosure can affect internal investigations and organizational disruption
  • What broad enforcement risks are discussed in connection with compliance concerns
  • How whistleblower and exclusion issues are framed in the disclosure context
  • What general compliance themes are associated with cooperation and trustworthiness

Who Should Read This

  • Healthcare compliance professionals
  • Medical billing and coding staff
  • Practice administrators
  • Healthcare attorneys
  • Consultants supporting compliance programs

Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?