decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Malpractice Insurance Subsidies / OIG Provides Guidance for Malpractive Insurance Subsidies
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Article Overview
This article summarizes OIG guidance on hospital efforts to help physicians with malpractice insurance costs and explains the compliance factors hospitals should review before offering such support. It is aimed at hospital compliance staff, physician administrators, and others responsible for evaluating fraud-and-abuse risk under federal healthcare rules.
Why This Topic Matters
Malpractice insurance support can create compliance risk if it is structured in a way that implicates federal anti-kickback concerns. The article helps readers understand the general issues OIG highlights and why careful review, including the possibility of seeking formal guidance, may be important.
What You Will Learn
- The general compliance issues raised by hospital subsidies for physician malpractice insurance
- What types of arrangement features OIG says should be reviewed at a high level
- Why hospitals may want to evaluate fraud-and-abuse risk before offering subsidy support
- When organizations may consider seeking formal guidance on a subsidy arrangement
Who Should Read This
- Hospital compliance officers
- Physician practice administrators
- Healthcare attorneys
- Revenue integrity and fraud-and-abuse compliance staff
- Medical group leaders
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