decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2007 OIG Advisory Opinions / Opinion 07-17 - Exluded Individual Can License His Invention
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Article Overview
This article summarizes a 2007 Office of Inspector General advisory opinion involving an excluded individual, a proposed licensing arrangement for an invention, and the role of intermediary entities in the arrangement. It is relevant to compliance, health care fraud and abuse, and federal program participation because it discusses how the OIG analyzed the structure of the transaction under current law. The summary is useful for readers looking for a high-level understanding of advisory opinion guidance without the full premium text.
Why This Topic Matters
It helps compliance and legal readers understand how the OIG evaluated a proposed business structure involving an excluded person, third-party manufacturer, and claims submitted to federal health care programs.
What You Will Learn
- The general structure of the proposed licensing arrangement
- How an excluded individual’s relationship to a new company affects OIG review
- The compliance significance of intermediary entities in federal health care program arrangements
- Why advisory opinion summaries matter for fraud and abuse analysis
Who Should Read This
- Health care compliance professionals
- Health care attorneys
- Medical practice administrators
- Coding and reimbursement staff
- Fraud and abuse analysts
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