Medicare Compliance & Reimbursement - 2009 Issue 6
COMPLIANCE: Tackle Your Compliance Questions With 2 FAQs
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Article Overview
This article addresses two reader questions about healthcare compliance enforcement. It discusses how organizations handle required reporting under a corporate integrity agreement and explains, at a general level, how civil monetary penalties may relate to exclusion actions and settlement resolutions. The piece is relevant to medical practice administrators, compliance staff, and providers navigating government oversight.
Why This Topic Matters
Providers and practice leaders need a clear understanding of compliance obligations and enforcement pathways to respond appropriately to government scrutiny and avoid missteps in reporting or settlement-related communications.
Article Sections
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Button Up Your Annual Reports
This section focuses on annual reporting obligations under a corporate integrity agreement and the role of professional assistance in preparing submissions to the OIG.
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CMP Does Not Require Exclusion
This section discusses civil monetary penalties, exclusion considerations, and how enforcement actions may be handled in settlements or other OIG proceedings.
What You Will Learn
- The general purpose of annual reporting under a corporate integrity agreement
- Who may assist with compliance-related reporting and documentation
- How civil monetary penalties may relate to exclusion actions
- How OIG enforcement actions can be resolved in broad terms
Who Should Read This
- Physicians
- Medical practice managers
- Compliance officers
- Healthcare administrators
- Billing and revenue cycle staff
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