decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Joint Ventures / Avoid Joint Ventures that Reward Referrals
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Article Overview
This short compliance article explains why certain health care joint venture structures draw regulatory scrutiny and why providers should review related arrangements carefully before expanding services. It is aimed at health care organizations, physicians, compliance staff, and others evaluating business relationships that involve referrals or shared profits. The piece also references OIG guidance and a 2003 Federal Register citation as part of its discussion of broad joint venture risk areas.
Why This Topic Matters
Joint venture structures can create compliance exposure if they are designed in ways that may be viewed as rewarding referrals or steering business between related providers. Understanding the general risk area helps organizations evaluate proposed relationships before they are implemented.
What You Will Learn
- Why certain health care joint ventures attract regulatory scrutiny
- How OIG guidance relates to provider business arrangements
- What types of arrangements may raise Anti-Kickback Statute concerns
- Why compliance review is important before expanding service lines through a joint venture
Who Should Read This
- Health care providers
- Physicians
- Compliance officers
- Health care administrators
- Billing and reimbursement staff
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