Fraud and Abuse: Learning From Mistakes of Others

This article reviews compliance risk areas that have resulted in payment of refunds and penalties by physician practices that self-disclosed potential violations to the Office of Inspector General of the US Department of Health and Human Services (HHS-OIG) or to the US Department of Justice and gives an overview of indications for self-disclosure. Topics include the following: Responsibility to learn and complyUp-codingIncident-to services without proper supervisionBilling for services by an excluded individual