decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Special Advisory Bulletins / OIG Special Advisory Bulletin 01-1_June 27, 2001 / Abusive Practices by Business Consultants
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Article Overview
This advisory bulletin from the Office of Inspector General (OIG) discusses abusive or misleading practices that can arise in health care consulting arrangements and why they matter to providers. It is aimed at organizations that work with consultants and need to understand the general compliance and fraud-and-abuse concerns highlighted by the bulletin, including oversight responsibilities and the importance of screening for exclusion status.
Why This Topic Matters
The bulletin helps providers recognize risk areas in consultant relationships and reinforces that outside help does not remove a provider’s responsibility for compliance. It is relevant to compliance staff, administrators, and anyone overseeing Medicare or Medicaid-related business arrangements.
What You Will Learn
- The types of consulting practices that raise compliance concerns
- Why consultant relationships can create fraud-and-abuse exposure
- What provider oversight responsibilities remain when using outside consultants
- Why exclusion screening is part of consultant management
Who Should Read This
- Health care providers
- Compliance officers
- Practice administrators
- Revenue cycle and operations staff
- Health care consultants
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