Voluntary Disclosure Program / What and When to Disclose to OIG

Article Overview

This article covers voluntary disclosure considerations for providers and compliance staff, focusing on how to think about billing errors, overpayments, and potential fraud-and-abuse concerns. It is relevant to organizations that manage Medicare billing compliance and internal reporting processes, especially when deciding whether an issue should be escalated for disclosure or handled as a refund. The discussion is framed around general compliance principles, internal controls, and OIG-related guidance rather than detailed coding instructions.