decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Safe Harbors / Criteria for Modifying and Creating New Safe Harbors
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Article Overview
This article explains the general criteria the OIG uses when evaluating changes to safe harbors or the creation of new ones. It is aimed at health care compliance, coding, reimbursement, and legal professionals who need to understand the policy considerations involved in anti-kickback safe harbor development. The discussion focuses on broad program impacts, access, quality, competition, costs, utilization, and financial incentive concerns.
Why This Topic Matters
Understanding the OIG’s safe harbor criteria helps readers evaluate how policy changes may affect health care delivery, provider relationships, and compliance risk in Medicare, Medicaid, and other government health programs.
What You Will Learn
- The broad factors OIG reviews when considering safe harbor changes
- How policy changes may be evaluated for their impact on access, quality, and competition
- Which general financial incentive concerns are considered in the safe harbor context
- Why fraud and abuse prevention remains central to OIG safe harbor decisions
Who Should Read This
- Health care compliance professionals
- Medical billing and coding professionals
- Health care attorneys
- Practice managers
- Provider organizations
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