decisionhealth Newsletters, Answer Books - 2009 Issue 4 (April)
Anti-Kickback Statute / Illegal remuneration / Other possible anti-kickback violations
Subscribe or sign in to view the full article.
Article Overview
This article reviews Office of Inspector General (OIG) fraud-alert examples of business practices that can raise anti-kickback concerns, along with the potential criminal and civil consequences of violations. It is relevant to compliance staff, coders, auditors, physicians, suppliers, and other healthcare organizations that need a high-level understanding of prohibited remuneration risks and enforcement exposure.
Why This Topic Matters
Anti-kickback issues can affect billing integrity, compliance programs, program participation, and organizational risk. Understanding the general categories of conduct flagged by OIG and the potential penalties helps healthcare entities recognize where heightened legal and compliance review may be needed.
What You Will Learn
- Which broad categories of arrangements OIG fraud alerts identify as potentially problematic
- How anti-kickback enforcement can lead to criminal and civil penalties
- Why supplier-related benefits and remuneration arrangements are compliance concerns
- What kinds of organizational relationships may warrant closer legal review
Who Should Read This
- Compliance officers
- Medical billing and coding professionals
- Healthcare attorneys
- Auditors
- Physicians
- Healthcare administrators
- Suppliers and vendors
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com