Health care providers and suppliers face a dilemma when they identify that potentially problematic claims have been submitted to a federal health care program (i.e. Medicare, Medicare Advantage Programs, Tricare and Medicaid Programs, ). Balancing legal disclosure obligations and business interests can be difficult when entities look at short term risks and benefits, to disclose to the OIG or CMS or simply, voluntary refund the overpayment to the provider’s Medicare Administrative Contractor.
