decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Fraud Alerts / OIG Special Fraud Alerts / Special Fraud Alert_May 1991 / Indications of improper waivers
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Article Overview
This article reviews an OIG Special Fraud Alert from May 1991 focused on suspect marketing and billing practices involving waivers of copayments and deductibles. It is relevant to healthcare providers, suppliers, compliance staff, and revenue cycle professionals who need to understand the general compliance concerns highlighted by the alert and the types of practices that may draw scrutiny.
Why This Topic Matters
Understanding this alert helps organizations recognize patterns in advertising, billing, and beneficiary cost-sharing practices that may raise fraud and abuse concerns. It is useful for compliance review, policy development, and risk awareness.
What You Will Learn
- The general compliance concerns described in the OIG Special Fraud Alert
- Common marketing and billing patterns that may attract scrutiny
- Why beneficiary cost-sharing practices can become a fraud and abuse issue
- How the alert frames suspect practices without being an exhaustive list
Who Should Read This
- Healthcare providers
- Medical suppliers
- Compliance officers
- Billing and coding professionals
- Revenue cycle staff
- Healthcare administrators
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