decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Fraud Alerts / OIG Special Fraud Alerts / Special Fraud Alert_May 1992 / Suspect hospital incentives-what to look for
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Article Overview
This article reviews an OIG fraud alert focused on hospital incentive arrangements that may be viewed as questionable. It is relevant to compliance, auditing, and physician-hospital relationship review, and it outlines broad categories of benefits, subsidies, and compensation practices that carriers, intermediaries, and other reviewers should watch for.
Why This Topic Matters
It helps readers recognize types of hospital-related incentive arrangements that may create fraud and abuse risk and may require closer compliance review.
What You Will Learn
- The general categories of hospital incentive arrangements highlighted by the OIG fraud alert.
- Why certain physician-hospital financial relationships may attract scrutiny.
- How the alert frames the role of carriers, intermediaries, and compliance reviewers.
- The types of benefits and support arrangements discussed at a high level.
Who Should Read This
- Compliance officers
- Medical auditors
- Hospital administrators
- Physician practice managers
- Revenue cycle and billing professionals
- Healthcare legal and regulatory teams
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