tci Medicare Compliance & Reimbursement - 2008 Issue 9
Compliance: OIG Report Shows Stark Laws Haven't Curbed Some Habits
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Article Overview
This article summarizes a Health and Human Services Office of Inspector General report on health care fraud and abuse enforcement and uses it to highlight recurring compliance concerns in physician settings. It is aimed at compliance professionals, physicians, practice managers, and billing/coding staff who need a broad understanding of fraud-and-abuse risk areas, especially rental and space-sharing arrangements involving referral relationships. The discussion stays at a high level and focuses on the types of arrangements that drew scrutiny, why they matter for compliance, and the general context of the OIG's enforcement activity.
Why This Topic Matters
Fraud-and-abuse enforcement can affect everyday business arrangements in medical practices, not just major investigations. Understanding the compliance themes in the OIG report can help organizations recognize when ordinary leasing or referral-related arrangements may require closer review.
What You Will Learn
- What the OIG report covers at a high level
- Why kickback-related arrangements remain a compliance focus
- How physician space-sharing and sublease arrangements can raise fraud-and-abuse concerns
- Which types of practice relationships are discussed in connection with OIG scrutiny
Who Should Read This
- Physicians
- Practice managers
- Compliance officers
- Medical office administrators
- Billing and coding professionals
- Health care attorneys
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