decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2001 OIG Advisory Opinions / Opinion 01-16 - HMO May Employ Excluded Psychologist
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Article Overview
This summary discusses a 2001 Office of Inspector General advisory opinion involving an HMO and the employment of an excluded psychologist. It is relevant to compliance, healthcare administration, and organizations seeking to understand how OIG evaluates employment arrangements involving excluded individuals. The article focuses on the general basis for the opinion and the compliance context rather than on medical coding.
Why This Topic Matters
Healthcare organizations and compliance staff may need to understand how OIG advisory opinions address employment relationships involving excluded individuals, especially when assessing operational risk and federal program compliance.
What You Will Learn
- The compliance context of an OIG advisory opinion involving an HMO
- The general considerations discussed in relation to employing an excluded individual
- How OIG advisory opinions can affect healthcare administrative and compliance decisions
- The relevance of exclusion-related issues for organizations participating in federal healthcare programs
Who Should Read This
- Compliance officers
- Healthcare administrators
- Legal and regulatory professionals
- Revenue integrity professionals
- Coding and billing professionals
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