OIG Referral Procedures

140.11 - OIG Referral Procedures (Rev. 1186, Issued: 02-23-07; Effective: 01-01-06; Implementation: 05-23-07) The contractor will include in the sanction recommendation to the OIG/FO (to the extent appropriate) the following: • Identification of the Subject - The subject’s name, address and a brief description of the subject’s special field of medicine. • Origin of the Case - A brief description of how the violations were discovered. • Statement of Facts - A statement of facts in chronological order describing each failure to comply with the refund requirements in §1842(1). • Documentation - Copies of written correspondence and written summaries of any meetings or telephone contacts with the beneficiary and the physician regarding the physician’s failure to make refund. • Other Significant Issues - Any information that may be of value in the event of a hearing to bar a physician from receiving Medicare payment.