tci Medicare Compliance & Reimbursement - 2005 Issue 5
Hospitals: How To Keep Your Charitable Gifts From Backfiring
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Article Overview
This article explains an HHS Office of Inspector General advisory opinion addressing whether a charitable donation arrangement between a health system’s foundation and a hospice could create anti-kickback risk. It is relevant to compliance, legal, and revenue integrity teams that work with provider donations, affiliated charities, referral relationships, and federal fraud-and-abuse guidance. The discussion focuses on the general factors the OIG considered in evaluating the arrangement and why the advisory opinion matters for organizations with business relationships and charitable giving programs.
Why This Topic Matters
Organizations that donate to or receive funds from affiliated or related entities need to understand how charitable giving can intersect with anti-kickback concerns. This article helps readers recognize the compliance issues raised by provider-to-provider relationships and federal advisory guidance.
What You Will Learn
- How an OIG advisory opinion can affect the review of charitable donation arrangements
- What types of provider, hospice, and foundation relationships may raise compliance questions
- Which broad factors regulators may consider when evaluating fraud-and-abuse risk in donation scenarios
- Why federal guidance matters for organizations with ongoing business relationships
Who Should Read This
- Compliance professionals
- Healthcare attorneys
- Hospital administrators
- Revenue integrity teams
- Healthcare executives
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