decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Nursing Facilities / Fraud Alerts / Special Fraud Alert - March 1998 / Special Fraud Alert - March 1998
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Article Overview
This page covers a March 1998 OIG Special Fraud Alert focused on financial and referral arrangements between hospices and nursing homes. It explains the general compliance concerns the agency identified, why these arrangements matter to providers in long-term care and hospice settings, and the types of practices the alert says may warrant review. The article is relevant to compliance staff, billing and coding professionals, hospice organizations, and nursing facility administrators who need to understand fraud-and-abuse risk in post-acute and long-term care relationships.
Why This Topic Matters
Hospice and nursing facility arrangements can affect referral patterns, payment relationships, and compliance exposure under federal fraud-and-abuse rules. Understanding the alert helps organizations evaluate contractual relationships and identify situations that may require closer legal or compliance review.
What You Will Learn
- The general compliance focus of the March 1998 fraud alert
- How hospice and nursing facility relationships can create fraud-and-abuse concerns
- The broad categories of arrangements discussed by the OIG
- Why this topic is important for long-term care and hospice compliance programs
Who Should Read This
- Compliance officers
- Hospice administrators
- Nursing facility administrators
- Billing and coding professionals
- Health care attorneys
- Revenue integrity staff
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