OIG approves outpatient prompt pay discount plan

Article Overview

This article explains an HHS Office of Inspector General advisory opinion addressing outpatient prompt pay discounts and the compliance factors that influenced the agency’s view. It is relevant to providers, billing teams, compliance staff, and revenue cycle personnel who handle patient collections and want to understand the general boundaries of federal fraud and abuse concerns. The piece focuses on the operational and policy considerations involved in structuring a discount program, including billing practices, patient notification, payer notification, and cost-related analysis.