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@Regulatory: October 2013

OIG provider self-disclosure protocol updates and implications


On October 30, 1998 the Office of Inspector General's (OIG) published the Provider Self Disclosure Protocol (SDP). Since inception of this program, three Open Letters to Health Care Providers (2006, 2008, and 2009) were established to solicit feedback from providers. In culmination of the Open Letters to Health Care Providers and recent feedback from providers in June 2012, the OIG decided to implement new changes effective April 17, 2013 that provide a number of changes to existing participation with self disclosure. The main objective of this update is to provide quicker SDP resolution times, and with provider cooperation, faster settlements negotiations. The provider has 90 days to complete an internal investigation of the offense from the time of submission, whereas previously the ruling allowed 90 days from the time of acceptance. In this issue of @Regulatory, a summary of the latest SDP update is provided and potential implications to providers are discussed.

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For previous issues of the newsletter, visit the archive page.

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