decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Fraud Alerts / OIG Special Fraud Alerts / Special Fraud Alert_August 1994 / Gifts and payments to look for
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Article Overview
This premium article covers an OIG Special Fraud Alert from August 1994 focused on gifts, cash payments, coupons, bonuses, grants, and other benefits that may be problematic in healthcare marketing and referral-related settings. It is relevant to compliance, fraud and abuse review, pharmacy operations, physician practices, managed care organizations, and anyone evaluating Anti-Kickback Statute risk. The article provides a general overview of the types of arrangements the OIG identified as potentially suspect and points readers to related fraud and abuse guidance.
Why This Topic Matters
Understanding the alert helps organizations recognize payment and gift arrangements that may warrant closer compliance review under federal fraud and abuse rules.
What You Will Learn
- The general compliance concerns addressed by the OIG Special Fraud Alert
- The categories of prescription drug marketing arrangements discussed in the alert
- Why certain gifts, payments, and benefits may trigger fraud and abuse review
- How the alert relates to broader Anti-Kickback Statute and safe harbor guidance
Who Should Read This
- Compliance officers
- Medical coders
- Billing professionals
- Pharmacy managers
- Physician practices
- Managed care organizations
- Healthcare attorneys
- Fraud and abuse auditors
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