decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Nursing Facilities / Fraud Alerts / Special Fraud Alert - March 1998 / Kickbacks
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Article Overview
This article explains a Special Fraud Alert issued by the OIG in March 1998 concerning kickback concerns in relationships between hospices and nursing homes. It is relevant to compliance, legal, billing, and facility contracting staff who need to understand the broad fraud-and-abuse issues described and the types of arrangements that may draw scrutiny.
Why This Topic Matters
Fraud-and-abuse compliance issues can affect payment arrangements, referral relationships, and contract design in post-acute and long-term care settings. The article helps readers recognize the general compliance area addressed by the OIG alert and the kinds of arrangements it discusses.
What You Will Learn
- The compliance issue addressed in the OIG Special Fraud Alert
- The types of hospice and nursing home arrangements discussed in the alert
- Why contract wording and payment arrangements matter in this context
- The general fraud-and-abuse concerns associated with referral relationships
Who Should Read This
- Compliance officers
- Billing and reimbursement staff
- Healthcare attorneys
- Contract managers
- Hospice administrators
- Nursing facility administrators
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