Medicare fraud and abuse allegations: Minimizing the damage
Abstract: The complexity and constantly changing nature of the Medicare regulations on prohibited practice behavior makes violations almost inevitable. But the Health and Human Services Office of Inspector General (OIG) offers some safeguards. They include an audit of operating policies and procedures; implementing a training program to familiarize staff with regulations; providing staff with easy methods for reporting potential problems or violations; and uncovering violations before an outsider does. A sidebar to this article discusses how to voluntarily disclose such self-discovered violations.