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What Are the Benefits of Self-disclosure?

Posted By: Bret S. Bissey, MBA, FACHE, CHC, CMPE / April 10, 2015

Bret Bissey answers, “What are the benefits of self-disclosure?” from MediTract on Vimeo.

There are several benefits of self-disclosure. When a healthcare provider actually enters a self-disclosure protocol and follows the regulations as written, one of the primary benefits is the potential to minimize the penalties associated with an overpayment, a False Claim Act, etc.

One, the government has said they’re going to try to minimize those fines in comparison to what would be a normal fine under a False Claim settlement.

The second would be the integrity obligations. A lot of providers are familiar with Corporate Integrity Agreement obligations. That is something that the government has pledged for a provider that comes forward and self-discloses in an honest, forthright, proactive manner. Those Corporate Integrity obligations would really be minimized in that fashion.

And the third would be potential exclusion, which would be for the worst of healthcare offenders. Fraud, actually, could have that sanction. Under self-disclosure protocol, that is not going to happen.

Bret S. Bissey, MBA, FACHE, CHC, CMPE

Prior to joining MediTract, Mr. Bissey was the SVP, chief ethics and compliance officer at UMDNJ, where he successfully led the compliance program to adherence with a rigorous five-year Corporate Integrity Agreement with the DHHS/OIG that occurred following a Deferred Prosecution Agreement. Prior to UMDNJ, Bissey served as the director of the Regulatory Compliance Practice at IMA Consulting, the chief compliance and privacy officer at Deborah Heart and Lung Center (operating under a CIA) and the VP of compliance at Cabot Marsh/QuadraMed. Mr. Bissey earned a Bachelor of Science in business administration and marketing from Shippensburg University of Pennsylvania and an MBA in marketing and healthcare administration from Wilkes University. Mr. Bissey is a frequent national speaker on healthcare compliance and is the author of The Compliance Officer’s Handbook. He is a Fellow of the American College of Healthcare Executives and a member of the Health Care Compliance Association (CHC), American College of Medical Practice Executives and the Healthcare Financial Management Association.