Outpatient Facility Coding Alert - 2019 Issue 12
Fraud & Abuse: Register Possible AKS, CMP Changes in New Proposal
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Article Overview
This piece reviews a proposed federal rule from the HHS Office of Inspector General that would update Anti-Kickback Statute and Civil Monetary Penalty regulations. It explains the broad policy goals behind the proposal, the types of safe harbors and exceptions being considered, and why the changes matter for providers, suppliers, compliance teams, and organizations involved in value-based care and care coordination.
Why This Topic Matters
The proposal could affect how providers and suppliers structure relationships, incentives, technology arrangements, transportation support, and other coordination activities under federal fraud and abuse rules. It is relevant for compliance leaders and billing/coding professionals who track regulatory changes that influence reimbursement-linked operations and value-based care models.
Article Sections
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Check Out OIG’s Reasoning
Summarizes the regulatory context and the agency’s stated goals for revising fraud and abuse protections. It frames the proposal in relation to care coordination, patient engagement, and value-based care.
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Read on to see how OIG plans to renovate AKS and CMPs:
Outlines the main categories of proposed safe harbor and exception changes across several operational areas. The section broadly reviews the types of arrangements and program topics addressed in the proposal.
What You Will Learn
- The general purpose of the proposed AKS and CMP updates
- Which broad categories of provider and supplier arrangements are affected
- How the proposal relates to value-based care and care coordination
- Why compliance teams may need to review existing safeguards and contracts
- Which operational areas are targeted for new or revised protections
Who Should Read This
- Compliance officers
- Healthcare attorneys
- Revenue cycle professionals
- Provider administrators
- Healthcare consultants
- Billing and coding professionals
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