The Provider Self-Disclosure Protocol was published by the Office of the Inspector General of the United States Department of Health and Human Services in an effort to encourage health-care providers to play a cooperative role in identifying and voluntarily disclosing noncompliance with federal health-care programs. The SDP makes possible the resolution of potential violations of federal criminal, civil or administrative laws for which exclusion or civil monetary penalties may be imposed. On the other hand, if a physician discovers mere overpayments or billing errors which do not involve a violation of law, such matters should be brought directly to the attention of the entity that processes claims.
This article provides an overview of the SDP and analyzes the benefits and risks a physician must carefully consider in determining whether to voluntarily disclose to the OIG a violation of law related to a federal health-care program.
Overview of OIG’s Provider Self-Disclosure Protocol
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