Under which statute is the SDRP appropriate for detected violations?

Get ready for the AAPC Certified Professional Medical Auditor Test. Enhance your skills with multiple choice questions, each designed to provide thorough explanations. Excel in your exam preparation!

The correct answer identifies the Stark Self-Referral Law as the statute under which the Self-Disclosure Protocol (SDRP) is appropriate for detected violations. The Stark Law prohibits physicians from referring Medicare patients for certain health services to entities with which they have a financial relationship, unless an exception applies.

The SDRP is a formal protocol established by the Centers for Medicare & Medicaid Services (CMS) for providers who want to voluntarily disclose actual or potential violations of the Stark Law. By utilizing this protocol, healthcare providers can disclose any concerns they have regarding noncompliance with the Stark Law. The SDRP encourages transparency and compliance within healthcare operations, supporting providers who proactively address potential issues.

While the other statutes listed are crucial in their own right, they do not specifically include a self-disclosure process analogous to the SDRP for Stark Law violations. The Medicare Law encompasses a broad range of regulations, the Anti-Kickback Statute specifically addresses financial incentives for referrals, and HIPAA Regulations focus mainly on the privacy and security of health information. Therefore, the SDRP is uniquely aligned with the Stark Self-Referral Law to facilitate the resolution of compliance issues related to physician referrals.

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