decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2006 OIG Advisory Opinions / Opinion 06-04 - Patient Assistance Plan May Expand to Include Medicare
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Article Overview
This premium article covers an HHS OIG advisory opinion from 2006 addressing whether a nonprofit charity may expand a donor-supported patient assistance program to include Medicare patients. It is relevant to compliance, fraud-and-abuse review, and organizations involved in charitable patient support programs because it outlines the type of program structure and safeguards evaluated by OIG.
Why This Topic Matters
It helps compliance, legal, and healthcare operations readers understand the OIG’s perspective on charity-based assistance arrangements involving donors, patient eligibility screening, and Medicare beneficiaries.
What You Will Learn
- The compliance context for a nonprofit patient assistance program
- How the opinion addresses expansion of assistance to Medicare beneficiaries
- The general safeguards OIG considered in evaluating the arrangement
- The role of donor structure and charity administration in the advisory opinion review
Who Should Read This
- Compliance officers
- Healthcare attorneys
- Revenue cycle and reimbursement professionals
- Nonprofit charity administrators
- Pharmacy and manufacturer compliance teams
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