Get Steven Spillers, M.d. - Office Of Inspector General - Hhs.gov - Oig Hhs

This guide provides a comprehensive overview of how to fill out the Integrity Agreement form for Steven Spillers, M.D. Designed to promote compliance with federal health care program requirements, this resource helps users navigate the online submission process with ease and clarity.

Follow the steps to successfully complete the Integrity Agreement form.

1. Click the ‘Get Form’ button to obtain the Integrity Agreement and open it for editing.
2. Begin with Section I, which outlines the preamble. Enter the name, address, and contact information for Steven Spillers, M.D. Ensure that all details are accurate as this information will establish the foundational agreement with the Office of Inspector General.
3. Proceed to Section II regarding the term and scope of the Integrity Agreement. Fill in the effective date by indicating the specific date when the agreement will start. This is crucial for maintaining compliance during the designated Reporting Period.
4. In Section III, detail the integrity obligations such as designating a Compliance Contact. Record the name and contact information of the individual responsible for compliance activities within the practice, ensuring they can fulfill the obligations as per the guidelines.
5. Review and complete each subsection under integrity obligations, including compliance program elements like training, disclosures, and claims review procedures. Document the implementation dates for these obligations accurately.
6. Upon completion of all sections, ensure clarity and accuracy of responses. Review the integrity obligations again to confirm all required sections are filled appropriately.
7. Once all fields are accurately completed, save your changes. You may then download, print, or share the document as necessary for compliance records or additional review.

Complete your Integrity Agreement form online to ensure compliance with federal health care program requirements today.