decisionhealth Newsletters, Part B News - 2012 Issue 12 (December)
Secure revenue from new business ventures with OIG advisory opinions
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Article Overview
This article covers the role of OIG advisory opinions in assessing proposed health care business ventures, especially those involving anti-kickback and safe harbor issues. It is intended for providers, compliance staff, administrators, and attorneys who want to understand when an advisory opinion may be useful, what the request process involves, and why published opinions can matter for similar arrangements. The piece also reviews broad examples of scenarios that may prompt a request and outlines the kinds of information commonly included in a submission.
Why This Topic Matters
Health care organizations may use advisory opinions to better understand regulatory risk before moving forward with new business arrangements. Knowing when to seek one can help support compliance planning and reduce exposure to sanctions.
Article Sections
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Compliance
Introduces the compliance context for advisory opinions and explains their general role in evaluating business arrangements under federal fraud-and-abuse concerns.
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Seek advisory opinions in these 3 scenarios
Describes broad situations in which organizations may consider requesting an advisory opinion and discusses how published opinions may be relevant to similar arrangements.
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How to file an advisory opinion request
Summarizes the submission process at a high level, including the general type of information requested and the overall timeline for review.
What You Will Learn
- What advisory opinions are and why organizations request them
- When an advisory opinion may be considered for a proposed business arrangement
- How the OIG advisory opinion process generally works
- What broad information is commonly included in a request
- How published advisory opinions can inform similar compliance questions
Who Should Read This
- Health care providers
- Compliance officers
- Practice administrators
- Hospital executives
- Health care attorneys
- Revenue cycle and regulatory staff
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