decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2007 OIG Advisory Opinions / Opinion 07-08 - Another Freebie from a DME Company gets the Thumbs Down
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Article Overview
This premium article reviews a 2007 Office of Inspector General advisory opinion involving a durable medical equipment supplier’s proposal to provide a no-cost patient service and related education to people with congestive heart failure. It explains the compliance and anti-kickback issues the OIG considered, and it is relevant for providers, suppliers, compliance professionals, and billing/coding staff who monitor referral-related arrangements and patient inducements.
Why This Topic Matters
Health care organizations and suppliers need to understand how free services and marketing-supported patient programs can raise federal fraud-and-abuse concerns. The article helps readers assess whether similar arrangements may create compliance risk and how the OIG evaluates them.
What You Will Learn
- The type of supplier arrangement reviewed by the OIG
- How free patient services can create compliance concerns
- Why marketing and physician outreach may matter in fraud-and-abuse analysis
- The role of advisory opinions in evaluating proposed arrangements
Who Should Read This
- Durable medical equipment suppliers
- Compliance officers
- Health care attorneys
- Billing and coding professionals
- Practice managers
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