decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Fraud Alerts / OIG Special Fraud Alerts / Special Fraud Alert_March 1998 / Nursing home arrangements with hospices
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Article Overview
This article summarizes an OIG Special Fraud Alert about hospice and nursing home business arrangements that may draw fraud and abuse concerns. It is aimed at compliance staff, coders, administrators, and healthcare providers who need to understand the general types of hospice-nursing facility relationships discussed by the OIG and why they can raise federal enforcement risk.
Why This Topic Matters
Hospice and nursing home relationships can affect referrals, billing practices, and compliance exposure. The alert helps organizations recognize the broad categories of arrangements that the OIG has identified as potentially problematic.
What You Will Learn
- The compliance concerns raised by hospice and nursing home financial relationships
- The general kinds of arrangements that can create fraud and abuse risk
- Why federal fraud alerts matter for hospice and long-term care organizations
- How the OIG frames referral-related arrangements in the hospice setting
Who Should Read This
- Hospice administrators
- Nursing home administrators
- Compliance officers
- Medical coders
- Healthcare attorneys
- Revenue cycle staff
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