decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Fraud Alerts / OIG Special Fraud Alerts / Special Fraud Alert_February 2000 / Rental amounts
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Article Overview
This article explains federal fraud-and-abuse concerns related to rental compensation arrangements between health care parties. It is useful for physicians, suppliers, compliance staff, and billing professionals who need to understand the general characteristics of rental agreements that are reviewed for risk. The discussion focuses on broad compliance concepts such as fair market value, fixed payment terms, and relationships between rent and referrals or other business generated.
Why This Topic Matters
Rental agreements can create fraud-and-abuse exposure when payment terms are not structured consistently with federal guidance. Understanding the article helps organizations evaluate lease and sublease arrangements for compliance risk.
What You Will Learn
- The general federal fraud-and-abuse concerns associated with rental compensation arrangements
- The broad compliance concepts that affect whether rental terms may be considered suspect
- The kinds of rental arrangement characteristics that are discussed in an OIG Special Fraud Alert
- Why lease and sublease structures matter in health care compliance review
Who Should Read This
- Physicians
- Suppliers
- Health care compliance professionals
- Medical office managers
- Billing and reimbursement staff
- Legal and contracting teams
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