Reporting of Indications of Illegal Acts

70.3 – Reporting of Indications of Illegal Acts (Rev. 27, 12-19-03) Illegal acts would consist of fraud or abuse against the Medicare program. Do not issue a report for any audit where illegal acts or indications of illegal acts are discovered and a fraud or abuse referral is made to the CMS regional office. Office of the Inspector General (OIG) will notify you in writing of the content of the report to be used. However, issue a report in situations where for several years you have made recurring adjustments, notified the provider, and referred the situation to OIG. (See §140.2 of this chapter.)