tci Medicare Compliance & Reimbursement - 2005 Issue 41

PHYSICIANS: Gainsharing Allows Physician Pay For Cutting Costs

...but there is a fine line between a legit payout and a kickback.Physicians could be receiving more money from local hospitals, and helping to improve patient care in the process. More and more hospitals are considering gainsharing programs, in which they pay a bonus to physicians for saving them money. The only problem is, these payments could be considered kickbacks or improper financial relationships under federal fraud and abuse laws, say attorneys.The HHS Office of Inspector General has given approval to seven different gainsharing schemes recently. But the OIG refused to give a blanket free pass to...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.