decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 1998 OIG Advisory Opinions / Opinion 98-06 - Waiver of Copayments Okayed for Scientific Research
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Article Overview
This advisory-opinion summary explains an OIG review of a research-focused arrangement involving Medicare, CMS, and NIH. It describes the general setting, the participating organizations, and the agency’s discussion of why the arrangement was viewed favorably in the context of a scientific study and related beneficiary cost-sharing waivers. The article is relevant to compliance professionals, coders, billing staff, and healthcare administrators who follow anti-kickback policy and Medicare research-related payment issues.
Why This Topic Matters
It helps readers understand how OIG analyzed a research-based waiver arrangement and why that analysis matters for compliance planning around Medicare-participating studies.
What You Will Learn
- The general compliance issue addressed by the advisory opinion
- How a research project can intersect with Medicare cost-sharing waivers
- Which organizations and clinical study context were involved
- Why anti-kickback concerns are relevant to the arrangement
- The types of factors OIG considered in evaluating the proposal
Who Should Read This
- Compliance officers
- Medical coders
- Billing staff
- Healthcare administrators
- Physician practice managers
- Hospital revenue cycle teams
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