Fraud Alerts / OIG Special Fraud Alerts / Special Fraud Alert_October 1994 / Waiver of charges to managed care patients

Article Overview

This article explains an Office of Inspector General Special Fraud Alert focused on waiver of charges to managed care patients in laboratory and physician referral arrangements. It addresses how managed care contracting structures, reduced utilization incentives, and free or written-off services may raise federal fraud and abuse issues. The piece is intended for compliance staff, physicians, laboratories, and other providers who work with managed care plans and federal health care program business.