Compliance: Don't Trip Over Financial Incentives and Relationships
Note: Kickbacks could be more damaging than self-referrals.
Enhanced data analytics allowed the HHS Office of Inspector Generalto zero in on fraudsters and other healthcare wrongdoers in a recent crackdown.
Lesson learned: If you don’t know the difference between a kickback and a self-referral you could find yourself on the OIG’s radar.
Kickback Refresher
With the possibility of both criminal and civil retribution, kickbacks are more detrimental to the offender than referral fraud. Kickbacks refer to any acceptance of reward, incentive, or payment for a referral from anyone, or in technical terms, “patient referrals or the...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: