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Compliance Center Welcome to the Ohio Hospital Association Compliance Center. This site provides essential information to help hospital compliance professionals ensure their organizations are up to speed with the latest health care-related rules and regulations. |
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What's New
April 15, 2008 The Office of Inspector General of the U.S. Department of Health and Human Services (OIG) has refined its Provider Self-Disclosure Protocol, under which health care providers can voluntarily report fraudulent conduct. Click here to read the April 15, 2008 Open Letter to Health Care Providers. The OIG suggests the self-disclosure protocol be used only for fraudulent or illegal conduct. “Disclosures that are characterized as mere billing errors or overpayments are not appropriately addressed by the [self disclosure protocol] and should be submitted directly by the provider to the appropriate claims-processing entity, such as the Medicare contractor.” The OIG also sets forth specific information that must be included in an initial disclosure. Complete disclosure, an accurate audit and cooperation by a provider are indications of an effective compliance program – and will result in the OIG’s presumption that a corporate integrity agreement is not necessary. The Provider Self-Disclosure Protocol has been in place since 1998 and has resulted in approximately $120 million in recoveries. Contacts Mary Gallagher Charles Cataline Jonathan Archey |
Newsroom OHA Compliance Manual From the OIG OHA Bulletins Educational Opportunities HIPAA Related Links
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© 2001-2008 OHA. Last updated
April 15, 2008. |
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