decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Special Advisory Bulletins / OIG Special Advisory Bulletin 99-1_July 8, 1999 / Conclusion
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Article Overview
This premium article covers the conclusion of an OIG Special Advisory Bulletin addressing hospital-physician gainsharing arrangements and their relationship to federal fraud-and-abuse concerns. It is relevant to compliance professionals, coders working in health care administration, auditors, and legal or reimbursement teams who need to understand the bulletin’s scope, the federal program context, and the general compliance implications discussed by OIG.
Why This Topic Matters
The bulletin informs readers about how OIG views certain hospital-physician financial arrangements under federal law and how enforcement discretion may be considered in light of publication timing and termination of existing arrangements.
What You Will Learn
- The bulletin’s overall focus within federal health care compliance.
- How OIG frames gainsharing arrangements involving hospitals and physicians.
- The compliance and enforcement context associated with the bulletin.
- The relevance of Medicare and Medicaid program considerations.
Who Should Read This
- Health care compliance professionals
- Medical auditors
- Hospital administrators
- Coding and reimbursement teams
- Health care attorneys
Codes Discussed
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