E/M Coding Alert - 2003 Issue 27
Business Arrangements: MRI JV PASSES OIG MUSTER
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Article Overview
This piece summarizes an OIG advisory opinion involving a joint venture MRI center and discusses the broader compliance considerations for health care business arrangements. It is aimed at providers, compliance professionals, and other stakeholders who evaluate joint ventures, management agreements, and lease structures under anti-kickback-related scrutiny. The article focuses on the general features that supported the arrangement and the regulatory context surrounding the OIG’s review.
Why This Topic Matters
Health care joint ventures can raise fraud-and-abuse concerns, so understanding how the OIG evaluates arrangement structure, investor participation, and related contracts can help organizations assess compliance risk.
What You Will Learn
- How an OIG advisory opinion can inform evaluation of a health care joint venture
- What broad compliance features are relevant to joint venture arrangements
- Why related management and space arrangements matter in fraud-and-abuse analysis
- How OIG guidance and safe-harbor concepts shape business arrangement review
Who Should Read This
- Health care compliance professionals
- Physician practice administrators
- Hospital administrators
- Health care attorneys
- Medical group managers
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