What does an SDP address in terms of 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 pertains to the focus of a Self-Disclosure Protocol (SDP) in the context of healthcare compliance and regulatory frameworks. An SDP is a process in which healthcare providers voluntarily disclose potential violations of the Anti-Kickback Statute or other federal healthcare laws to the authorities.

By utilizing an SDP, a healthcare entity demonstrates a proactive approach to compliance, seeking to rectify any improper conduct before it escalates into significant legal issues or penalties. The emphasis is specifically on disclosures related to practices that could be construed as kickbacks, such as improper financial relationships with referral sources, which the Anti-Kickback Statute aims to prevent.

In contrast, while fraud prevention, insurance disputes, and billing errors may be relevant in broader compliance discussions or in different contexts, they do not directly encapsulate the purpose and intention of the Self-Disclosure Protocol as it is primarily concerned with the disclosure of violations related to the Anti-Kickback Statute. Thus, understanding the specific focus of an SDP helps clarify its role in maintaining healthcare integrity and compliance.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy