decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2001 OIG Advisory Opinions / Opinion 01-08 - Pricing Arrangement, Warranty For Pressure Ulcer Treatment Permitted
Subscribe or sign in to view the full article.
Article Overview
This premium article reviews an OIG advisory opinion from the 2001 advisory opinions series concerning a manufacturer program tied to therapeutic mattresses, skin and wound care products, and a warranty arrangement. It is relevant to health care compliance, providers, suppliers, and coding/reimbursement professionals who need to understand how OIG evaluates bundled pricing, payer structure, and warranty-related risk under anti-kickback and safe harbor frameworks. The discussion focuses on the program structure, the agency’s separate analysis of pricing and warranty issues, and the broader compliance implications for participating facilities and federal health care programs.
Why This Topic Matters
It helps readers understand how OIG evaluates certain bundled commercial arrangements and warranty programs for fraud-and-abuse risk, which can affect supplier contracting and compliance decisions in health care settings.
What You Will Learn
- The general structure of the manufacturer program discussed in the advisory opinion.
- How OIG separately evaluated the pricing arrangement and the warranty component.
- What kinds of compliance and fraud-and-abuse considerations were part of the opinion.
- How the arrangement was viewed in relation to federal health care program participation and facility operations.
Who Should Read This
- Health care compliance professionals
- Providers and facility administrators
- Durable medical equipment and supply vendors
- Medical coding and reimbursement professionals
- Health care attorneys and consultants
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com