decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Fringe Benefits, Gifts and Perks / Overview
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Article Overview
This short overview discusses provider gifts and perks in the context of healthcare compliance and fraud-and-abuse risk. It is relevant to coders, compliance staff, administrators, and providers who need a general understanding of how federal laws address inducements tied to referrals or orders for covered items and services.
Why This Topic Matters
Understanding the compliance implications of provider gifts and perks helps organizations recognize when routine benefits may create fraud-and-abuse concerns and require review under federal law.
What You Will Learn
- How fringe benefits, gifts, and perks can create compliance concerns in healthcare settings
- Why provider-related gifts may be scrutinized under federal fraud-and-abuse rules
- The general role of federal laws and regulations in evaluating inducement risk
- How this topic relates to Medicare and Medicaid-covered items and services
Who Should Read This
- Medical coders
- Compliance professionals
- Healthcare administrators
- Physicians and other providers
- Revenue cycle staff
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