Which protocol enables self-disclosure of potential fraud under CMPs?

Which protocol enables self-disclosure of potential fraud under CMPs?

• A. Corporate Integrity Agreement (CIA)
• B. Self-Disclosure Protocol (SRDP)
• C. OIG Self Disclosure Protocol (SDP)
• D. Exclusions List

Answer: (C)

The main idea here is the formal way to report potential fraud to the government so that penalties under civil monetary penalties (CMPs) can be resolved through a controlled process. The official route is the Office of Inspector General’s Self-Disclosure Protocol. It provides a structured, voluntary path for a provider to disclose potential fraud, cooperate with the investigation, and address any overpayments or improper conduct. When a disclosure is accepted under this protocol, the outcome is typically a settlement with civil monetary penalties that can be more favorable than what might result from a purely adversarial enforcement action, especially given the emphasis on timely disclosure and cooperation. This is why it’s the best answer: it is specifically designed for self-disclosure of potential fraud to the OIG under CMPs. The Corporate Integrity Agreement is a binding set of compliance obligations attached to a CMP settlement, not a disclosure mechanism. The Exclusions List is simply a roster of individuals or entities barred from federal healthcare programs, not a process for reporting fraud. The SRDP term isn’t the standard designation; the recognized program is the OIG Self-Disclosure Protocol.

The main idea here is the formal way to report potential fraud to the government so that penalties under civil monetary penalties (CMPs) can be resolved through a controlled process. The official route is the Office of Inspector General’s Self-Disclosure Protocol. It provides a structured, voluntary path for a provider to disclose potential fraud, cooperate with the investigation, and address any overpayments or improper conduct. When a disclosure is accepted under this protocol, the outcome is typically a settlement with civil monetary penalties that can be more favorable than what might result from a purely adversarial enforcement action, especially given the emphasis on timely disclosure and cooperation.

This is why it’s the best answer: it is specifically designed for self-disclosure of potential fraud to the OIG under CMPs. The Corporate Integrity Agreement is a binding set of compliance obligations attached to a CMP settlement, not a disclosure mechanism. The Exclusions List is simply a roster of individuals or entities barred from federal healthcare programs, not a process for reporting fraud. The SRDP term isn’t the standard designation; the recognized program is the OIG Self-Disclosure Protocol.