decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Physician Practice Model Compliance Plan / Specific Risk Areas / Additional Risk Areas / Gainsharing Arrangements and Civil Monetary Penalties
Subscribe or sign in to view the full article.
Article Overview
This premium article provides a concise summary of OIG guidance addressing gainsharing arrangements and the civil monetary penalties law. It is relevant to hospitals, critical access hospitals, physicians, compliance professionals, and revenue integrity teams looking for a high-level understanding of physician compensation arrangements and associated compliance risk areas.
Why This Topic Matters
The topic is important because physician-hospital compensation structures can create compliance exposure under federal fraud and abuse rules. Readers need a clear overview of the regulatory concern and the general types of arrangements discussed in the bulletin.
What You Will Learn
- The general compliance issue addressed by the OIG Special Advisory Bulletin
- Why gainsharing arrangements raise concern under civil monetary penalties law
- Broad distinctions between prohibited and potentially permissible physician-hospital cost-reduction arrangements
- The role of fair market value and fixed-fee contracting concepts in this context
Who Should Read This
- Hospitals
- Critical access hospitals
- Physicians
- Compliance officers
- Revenue integrity professionals
- Healthcare legal and contracting teams
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com