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CPMA Exam Chapter 5: Self-Disclosure Audits Exam Questions With Verified Answers.

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©BRAINBARTER 2024/2025 CPMA Exam Chapter 5: Self-Disclosure Audits Exam Questions With Verified Answers. The OIG Self-Disclosure Protocol (SDP) provides the - answerability to self-disclose potential instances of fraud involving federal healthcare programs for which liability arises under the...

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  • September 29, 2024
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CPMA Exam Chapter 5: Self-Disclosure
Audits Exam Questions With Verified
Answers.


The OIG Self-Disclosure Protocol (SDP) provides the - answer✔ability to self-disclose potential
instances of fraud involving federal healthcare programs for which liability arises under the
OIG's civil money penalty authorities

The SDP (Self-Disclosure Protocol) is not for reporting of - answer✔potential or actual Stark
(self-referral) violations;


It is not a means to obtain an advisory opinion to determine if the suspect conduct is unlawful.

For potential or actual STARK law violations, the HHS provides - answer✔a separate disclosure
process called the Self-Referral Disclosure Protocol (SDRP)
Where errors result in mere overpayments for which there was not evidence of fraudulent
conduct, an entity must - answer✔voluntarily identify, disclose, and refund overpayments as
detailed above so as to avoid False Claims Act (FCA) liability under the "reverse false claims
provision" of the FCA.
Although an auditor is unlikely to be responsible for managing such disclosures, an auditor may
need to be involved in - answer✔identifying the scope of the error (the sampling frame).
If decision is made to either perform a 100% audit, or to audit a sample, the auditor will -
answer✔perform the actual analysis of the suspect claims to identify the existence of any legally
definable error.


In such a case, the auditor must be very clear in detailing the rational for any error or change in
code,

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