Corporate Compliance

Tip: Relationships with other healthcare entities

Compliance Monitor, October 17, 2007

Hospitals may obtain referrals of federal healthcare program business from a variety of healthcare professionals and entities. In addition, when furnishing inpatient, outpatient, and related services, hospitals often direct or influence referrals for items and services reimbursable by federal healthcare programs (e.g., home health agencies, skilled nursing homes, durable medical equipment companies, etc.). In cases where a hospital is the referral source for other providers or suppliers, the hospital should scrutinize any remuneration flowing to the hospital from the provider or supplier to ensure compliance with the anti-kickback statute. Hospitals should also review their managed care arrangements to ensure compliance with the anti-kickback statute.

Most Popular