tci Part B Insider - 2005 Issue 10

COMPLIANCE: Don't Take OIG Opinions as License to Go Nuts With Gainsharing

The HHS Office of Inspector General has now issued three more opinions approving gainsharing arrangements between hospitals and physicians - but that doesn't mean gainsharing is suddenly OK in the OIG's book.The OIG had listed gainsharing as a major compliance concern in its hospital compliance guidance, issued last year. Gainsharing refers to deals in which a hospital offers a physician group payments for improving efficiency or cutting costs. The OIG has been skeptical of arrangements that reward physicians for skimping on care, and also involve payments from referral sources to physicians.The OIG's opinion only applies to the...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 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

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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