decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Advisory Opinion Procedures / Anti-Kickback Statute Advisory Opinion Procedures / Preliminary Checklist for Anti-Kickback Advisory Opinion Requests
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Article Overview
This page summarizes the OIG preliminary checklist for submitting an anti-kickback advisory opinion request. It is relevant to providers, requestors, compliance staff, and legal or billing professionals who need to understand the general filing requirements, required certifications, supporting materials, and procedural conditions tied to advisory opinion requests under 42 CFR Part 1008.
Why This Topic Matters
Advisory opinion requests can be accepted only if the submission meets specified procedural requirements and includes the required documentation and certifications. Understanding the checklist helps organizations prepare a complete request and recognize the categories of information OIG may expect in the filing process.
Article Sections
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Preliminary checklist for advisory opinion requests
General introductory guidance on using the OIG checklist and the purpose of the initial review process.
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Requirements for a complete request
Submission prerequisites and required supporting information tied to the requestor, the arrangement, parties involved, fees, copies, identifiers, and confidentiality-related statements.
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Information included in the request
Categories of background material, descriptions, and operative documents that accompany the request.
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Certification requirements
Required signed certification statements and the parties authorized to sign based on the requestor’s organizational form.
What You Will Learn
- What types of procedural elements are included in an advisory opinion request packet
- What categories of information must be assembled for an OIG review
- What certification and signature requirements apply to different requestor types
- How the checklist relates to the broader advisory opinion process
Who Should Read This
- Compliance professionals
- Healthcare providers
- Healthcare attorneys
- Billing and reimbursement staff
- Risk management teams
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