decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2005 OIG Advisory Opinions / Opinion 05-11 - Hospital May Donate Building to Referral Source
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Article Overview
This premium article reviews an OIG advisory opinion from 2005 involving a hospital’s proposed donation of an office building to a state medical school that refers patients to the hospital. It explains the general Anti-Kickback Statute concerns raised by the arrangement and the community-benefit factors OIG considered in assessing the proposal. The content is useful for compliance staff, healthcare counsel, hospital administrators, and physicians interested in fraud-and-abuse risk in referral relationships.
Why This Topic Matters
Arrangements involving gifts, donations, and referral relationships can raise fraud-and-abuse concerns even when they are framed as charitable or community-serving. This article helps readers understand the type of contextual factors OIG may consider in evaluating whether a proposed healthcare transaction presents undue referral risk.
What You Will Learn
- How an OIG advisory opinion can evaluate a proposed donation involving a referral source
- What general factors may be considered when assessing fraud-and-abuse risk in a healthcare donation arrangement
- How community-benefit and compliance safeguards can be relevant in an advisory opinion context
- Why proximity, mission alignment, and administrative independence may matter in a proposed healthcare facility donation
Who Should Read This
- Compliance officers
- Healthcare attorneys
- Hospital administrators
- Physician practice managers
- Medical school administrators
- Revenue cycle and fraud-and-abuse specialists
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