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,
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Brainbarter. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.33. You're not tied to anything after your purchase.