Updated OIG's Provider Self-Disclosure Protocol
Author: U.S. Department of Health and Human Services. Office of the Inspector General
Source: Government (U.S.) | U.S. Department of Health & Human Services
Publication Date: April 17, 2013
This revised SDP supersedes and replaces the 1998 Federal Register Notice and the three Open Letters to Health Care Providers issued in 2006, 2008, and 2009.
Voluntary Disclosure of Coding Errors and Resulting Overpayments
Author: Hayman, Russell
Source: AHIMA Convention
Publication Date: October 21, 2005
When a coding error is identified, what potential liabilities and obligations may exist, and when is repayment of any overpayment and/or disclosure of the error to the government appropriate? When providers discover the existence of coding errors and potential overpayments, they commonly ask....
Weighing the Stark Law Exceptions
Author: Howrey, Linda
Source: Journal of AHIMA
Publication Date: August 2008
Donations of software and services to physicians allowed under the anti-kickback exceptions are meant to spur health IT adoption, but evaluating the potential is a complex exercise for both donor and recipient.
Exceptions to the Stark Law and the anti-kickback statute enable hospital....