Compliance Resources

Fraud, Waste & Abuse

Federal resources for recognizing risk, screening exclusions, reporting concerns, and understanding enforcement expectations.

Reference standard: Confirm the current effective date and applicability of each source before relying on it for an audit finding, coding decision, provider education, or compliance determination.

OIG Fraud Resources

OIG fraud reporting, enforcement, prevention, and exclusion resources.

  • Report fraud
  • Enforcement actions
  • Prevention resources
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OIG Exclusions Database

Search the List of Excluded Individuals and Entities before employing or contracting with parties involved in federal healthcare programs.

  • Individual and entity search
  • Exclusion verification
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OIG Self-Disclosure Information

OIG guidance for voluntarily disclosing potential fraud involving federal healthcare programs.

  • Provider Self-Disclosure Protocol
  • Grant Self-Disclosure Program
  • Contractor Self-Disclosure Program
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DOJ False Claims Act

Department of Justice information on the federal False Claims Act and enforcement.

  • Civil enforcement
  • Healthcare fraud cases
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OIG Fraud Alerts and Bulletins

OIG alerts identifying potentially abusive arrangements and emerging risk areas.

  • Special Fraud Alerts
  • Advisory bulletins
  • Compliance guidance
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