decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Employment and Employees / Why you better know who your employees really are / Why you better know who your employees really are
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Article Overview
This article explains the relevance of bona fide employment arrangements under federal fraud-and-abuse law and examines how employee status and employer identity can affect whether a compensation arrangement fits within an exception or safe harbor. It is aimed at physicians, compliance staff, coders, and administrators who need to understand the compliance implications of medical director and referral relationships.
Why This Topic Matters
Determining whether a person is truly an employee, and identifying the actual employer, can affect whether an arrangement is protected under applicable fraud-and-abuse exceptions. The article helps readers recognize why these relationship details matter for compliance review and documentation.
What You Will Learn
- How bona fide employment arrangements are evaluated in a health care compliance context
- Why employee status and employer identity matter in fraud-and-abuse analysis
- How medical director relationships can raise compliance questions
- The role of federal employment-related exceptions and safe harbors
Who Should Read This
- Physicians
- Medical directors
- Compliance officers
- Health care administrators
- Coding and billing professionals
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