decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Voluntary Disclosure Program / Why Disclosure is a Key Part of Compliance
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Article Overview
This premium Find-A-Code article covers why voluntary self-disclosure is presented as an important part of a healthcare compliance program. It discusses the compliance and enforcement context involving government oversight, the Office of Inspector General, and common fraud-and-abuse concerns, and it compares disclosure with repayment-related options. The article is aimed at providers, compliance staff, and billing or reimbursement professionals who need a broad understanding of when disclosure may be considered and why it matters.
Why This Topic Matters
Understanding disclosure options can help healthcare organizations evaluate compliance risk, respond appropriately to suspected overpayments or fraud-and-abuse issues, and better anticipate the potential consequences of government enforcement actions.
What You Will Learn
- How voluntary self-disclosure fits into a compliance program
- Why disclosure decisions matter in the context of healthcare fraud and abuse oversight
- How disclosure relates to penalties, exclusions, and repayment alternatives
- The role of the Office of Inspector General in compliance enforcement
- How providers may think about whether to disclose or repay through a contractor
Who Should Read This
- Healthcare providers
- Compliance officers
- Medical billing and coding professionals
- Revenue cycle staff
- Practice administrators
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