tci Medicare Compliance & Reimbursement - 2015 Issue 12

Consider Self-Disclosure To Ease Noncompliance Fallout

OIG identifies three distinct benefits of self-reporting. As part of the newly published “Practical Guidance for Health Care Governing Boards on Compliance Oversight,” the HHS Office of Inspector General (OIG) also stressed the importance of self-identification and self-reporting of compliance problems.  And as an enticement, the OIG listed in the guide the benefits of self-disclosing compliance problems under the OIG’s Self-Disclosure Protocol: 1.Faster resolution — The average OIG self-disclosure case is resolved in less than one year. 2.Lower payment — The OIG settles most self-disclosure cases for 1.5 times damages, rather than...

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