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From the Federal Register - Fraud and Abuse

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Today's Federal Register contains specific information on how the OIG will

investigate claims of Fraud and Abuse.

You can download the entire Final Rule at the Federal Register or at our

web site at

<www.theFOCUSgroup.net/news.htm>

You can also download the February 19, 1997 guidelines on procedures for

submitting a request and obtaining an advisory opinion from the OIG at

these same two sits.

Comments and discussion on these rulings are welcome here at PTManager.

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of Inspector General

42 CFR Part 1008

RIN 0991-AA85

Medicare and State Health Care Programs: Fraud and Abuse; Issuance of

Advisory Opinions by the OIGAGENCY:

Office of Inspector General (OIG), HHS.ACTION:

Final rule.

-----------------------------------------------------------------------

SUMMARY:

In accordance with section 205 of the Health Insurance Portability and

Accountability Act of 1996, this final rule sets forth the specific

procedures by which the Department, through the Office of Inspector General

(OIG), in consultation with the Department of Justice (DoJ), will issue

advisory opinions to outside parties regarding the interpretation and

applicability of certain statutes relating to the Federal and State health

care programs. The procedures for submitting a request and obtaining an

advisory opinion from the OIG were established through interim final

regulations published in the Federal Register on February 19, 1997. In

response to public comments received on these interim final regulations,

this final rule revises and clarifies various aspects of the earlier

rulemaking.

R. Kovacek, MSA, PT

KovacekManagementServices, Inc.

The FOCUS Group, Inc.

20225 Danbury Lane

Harper Woods, MI 48225

Fax

Email Pkovacek@...

<http://www.theFOCUSgroup.net>

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