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Compliance

Accountable Care Organizations

The Affordable Care Act contains several provisions that support the development of Accountable Care Organizations to manage and coordinate care for beneficiaries.

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Advisory Opinions

The OIG issues advisory opinions about the application of OIG's fraud and abuse authorities to the requesting party's existing or proposed business arrangement.

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Compliance 101 and Provider Education

OIG developed the free educational resources listed on this Compliance 101 Web page to help health care providers, practitioners, and suppliers understand the health care fraud and abuse laws and the consequences of violating them.

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Compliance Guidance

The OIG has developed a series of voluntary compliance program guidance documents directed at various segments of the health care industry.

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Corporate Integrity Agreements

The Office of Inspector General negotiates Corporate Integrity Agreements with health care providers and other entities as part of the settlement of Federal health care program investigations arising under a variety of civil false claims statutes.

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Open Letters

The Inspector General occasionally issues letters to health care providers alerting them to OIG policies and processes.

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RAT-STATS

RAT-STATS is a free statistical software package that providers can download to assist in a claims review.

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Safe Harbor Regulations

The "safe harbor" regulations describe various payment and business practices that, although they potentially implicate the Federal anti-kickback statute, are not treated as offenses under the statute.

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Self-Disclosure Information

The Provider Self-Disclosure Protocol outlines the process providers should follow when voluntarily self-disclosing potential fraud, a move that gives providers the opportunity to avoid the costs and disruptions associated with an investigation or litigation.

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Special Fraud Alerts, Bulletins, and Other Guidance

A listing of Special Fraud Alerts, Bulletins, and Other Guidance issued by the OIG.

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Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201