Gainsharing may save money, but proceed with caution
Health Care Auditing Strategies, June 1, 2005
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Financial leaders at your facility may be chomping at the gainsharing bit, now that the OIG has released favorable gainsharing advisory opinions. Still, experts advise hospitals and physician groups to proceed carefully. Gainsharing agreements are still ripe for anti-kickback statute violations.
"Now that the OIG has given favorable advisory opinions, hospitals may feel it is open market to start gainsharing," says James Kopf, president of New Canaan, CT-based Healthcare Oversight, Inc., and former director of program investigations for the OIG. "But this is a limited window as far as what hospitals and physician groups can do."
To keep your facility from running into noncompliance trouble, verify that gainsharing agreements include safeguards to uphold high-quality patient care.
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