OIG Self-Disclosure
The HHS-OIG Self-Disclosure Protocol allowing providers to disclose actual or potential violations of federal fraud and abuse laws.
1 min read · Last reviewed May 23, 2026
At a glance
- Category
- Compliance Program
- Primary sources
- 1
- Workspace handoff
- compliance binder →
Where this comes up
Compliance committees and practice managers operate at this level — written policy, workforce training, sanction policy, monitoring and auditing cadence, response and corrective action. The seven elements of an effective compliance program (OIG) are the scaffolding; this term lives somewhere on that scaffold.
Full definition
What it is in practice
HHS-OIG Self-Disclosure Protocol typically reduces penalties to multiples of single damages instead of treble plus per-claim. Stark-only issues use the CMS SRDP instead.
How it shows up in your practice
When an internal audit reveals a systematic billing error or kickback exposure, engage counsel and consider disclosure. Voluntary disclosure is a meaningful mitigation.
Sources
- HHS-OIG — Self-Disclosure Protocolhttps://oig.hhs.gov/compliance/self-disclosure-info/index.asp
Document any self-disclosure in the Compliance Binder
Open compliance binder →Related terms
- Compliance ProgramFalse Claims ActFederal statute (31 USC 3729-3733) that imposes liability on persons and companies who defraud federal programs.
- Compliance ProgramAnti-Kickback Statute (AKS)Federal criminal statute (42 USC 1320a-7b(b)) that prohibits offering, paying, soliciting, or receiving remuneration to induce or reward referrals for items or services payable by federal health programs.
- Compliance ProgramStark LawFederal statute (42 USC 1395nn) prohibiting physicians from referring Medicare/Medicaid patients for designated health services to entities with which the physician has a financial relationship, unless an exception applies.
- Compliance Program60-Day Overpayment RuleACA requirement that Medicare and Medicaid overpayments be reported and returned within 60 days of identification.
- Compliance ProgramCivil Monetary PenaltiesAdministrative penalties HHS-OIG may impose on healthcare providers for various violations including HIPAA breaches, kickbacks, and billing for excluded individuals.
D3rx is a healthcare-billing and compliance research aid maintained by D3rx Inc. Articles are drafted by an LLM (Anthropic Claude) against primary HHS, OCR, CMS, eCFR, NIST, and state-regulator publications, and reviewed for restraint and source fidelity by the D3rx team.
Reviewer status: a named credentialed reviewer (CHC, CHPC, or healthcare attorney) is being engaged. Until that engagement is finalized, this page does not claim credentialed review.
Related across the archive
- Glossary60-Day Overpayment RuleACA requirement that Medicare and Medicaid overpayments be reported and returned within 60 days of identification.
- GlossaryAnti-Kickback Statute (AKS)Federal criminal statute (42 USC 1320a-7b(b)) that prohibits offering, paying, soliciting, or receiving remuneration to induce or reward referrals for items or services payable by federal health programs.
- GlossaryCivil Monetary PenaltiesAdministrative penalties HHS-OIG may impose on healthcare providers for various violations including HIPAA breaches, kickbacks, and billing for excluded individuals.
- GlossaryFalse Claims ActFederal statute (31 USC 3729-3733) that imposes liability on persons and companies who defraud federal programs.
- GlossaryStark LawFederal statute (42 USC 1395nn) prohibiting physicians from referring Medicare/Medicaid patients for designated health services to entities with which the physician has a financial relationship, unless an exception applies.
- BillingWhat to Do When a Payer Says You're UnderbillingGot a letter saying you're underbilling? Here's what it actually means, whether you should worry, and what action to take.
- ComplianceOIG Self-Disclosure Protocol: When to Use It, When to Hold BackThe OIG SDP is a powerful resolution tool but it is not the right move for every matter. Here is how the 2021-amended SDP works and when counsel uses it.
- ComplianceAmbulatory Surgery Center Compliance: CMS + State + Infection Control42 CFR Part 416 Conditions for Coverage, CMS State Operations Manual Appendix L, the ASC Infection Control Surveyor Worksheet, and where state ASC licensure tightens the standard.
This glossary entry is a research aid for billing and compliance staff. It does not provide legal, medical, or financial advice and does not replace counsel. References cited link to primary sources at HHS, OCR, CMS, eCFR, NIST, and the relevant payer or industry body.