Corporate Compliance

Anticipate the moves of OIG agents-before they arrive

Health Care Auditing Strategies, July 1, 2006

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For a compliance officer or auditor, this scenario could be a living nightmare: OIG agents with a search warrant appear at your hospital, cordon off the billing department, and begin searching through file cabinets. No one in the department thinks to call the compliance officer.

One disgruntled employee in particular is eager to speak with agents about all the billing problems that the department has had for years.

Hopefully, if OIG agents arrive at your facility's door, the scene won't look like this. There's no question that preventing such a scenario requires preparing yourself-and employees at your facility-to be ready to deal with it, according to James M. Becker, a partner at Saul Ewing in Philadelphia and Kenneth E. Spence, CFE, a healthcare consultant and former director of compliance and audit services at an academic medical center in New Hampshire.

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