General Surgery Coding Alert - 2011 Issue 43
Just Say No to Giving Most Gifts to Patients
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Article Overview
This article explains a federal compliance issue involving gifts to patients covered by Medicare and Medicaid. It summarizes guidance from the OIG, discusses the general limits on beneficiary gifts and related concerns about cash-like items and free services, and references legal/compliance commentary relevant to providers and hospices.
Why This Topic Matters
Providers and compliance staff need to understand beneficiary-inducement restrictions to reduce fraud-and-abuse risk when planning patient appreciation or holiday gift programs.
What You Will Learn
- How federal guidance addresses gifts to Medicare and Medicaid beneficiaries
- Why cash and cash equivalents raise compliance concerns
- How related anti-kickback and inducement issues affect provider gift-giving policies
- What types of compliance commentary are cited in connection with the guidance
Who Should Read This
- Healthcare compliance professionals
- Physicians and medical practices
- Hospice organizations
- Healthcare attorneys
- Revenue cycle and fraud-and-abuse staff
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