The Who, What, When, Where, Why, and How of Healthcare Self-Disclosures

This program, presented by healthcare attorney Hillary Stemple, will provide an overview of the process for self-disclosing potential violations of federal and state health care fraud and abuse laws to the appropriate agencies.

The program will include (1) an overview of the laws that may require self-disclosure by providers, including the Anti-Kickback Statute, the False Claims Act, the Stark Law, and more; (2) the process for determining when self-disclosure is appropriate; (3) how to determine the appropriate agency for self-disclosure; and (4) the process for self-disclosing to the appropriate agency.

Learning Objectives:

1. Identify why providers may need to self-disclose to a federal or state agency
2. Discern the appropriate agency for self-disclosure
3. Discuss the timing for self-disclosure
4. Review the process for self-disclosing to each agency (e.g., to the Centers for Medicare and Medicaid Services, or to the Department of Health and Human Services Office of the Inspector General) – what’s the same and what’s different for each process