decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2000 OIG Advisory Opinions / Opinion 00-02 - Hospital Gainsharing For Non-Physician Employees Approved
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Article Overview
This article summarizes an Office of Inspector General advisory opinion involving a hospital cost-savings program for non-physician employees. It explains the general compliance issues reviewed under federal fraud-and-abuse law, including concerns tied to employee incentives, patient care, vendors, and federal health care program costs. It is useful for compliance staff, hospital administrators, legal teams, and others interested in OIG guidance on gainsharing-style arrangements.
Why This Topic Matters
The summary highlights how OIG evaluates incentive programs in a hospital setting and why program design matters for fraud-and-abuse compliance.
What You Will Learn
- The general compliance issues raised by hospital employee incentive programs
- How OIG advisory opinions address fraud-and-abuse concerns in a hospital context
- Which broad program features were relevant to the advisory review
- Why hospitals and compliance teams monitor OIG guidance on gainsharing-style arrangements
Who Should Read This
- Hospital compliance professionals
- Healthcare administrators
- Healthcare counsel
- Revenue cycle and audit teams
- Medical coding and reimbursement professionals
Codes Discussed
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