Specific regulatory guidance for fraud and abuse

Reference no: EM133604617

Question

1. What can you learn by perusing the OIG's advisory opinions and other guidance documents? Does the Open Payments database provide any fruitful information about your local healthcare system or providers?

2. More than a decade ago, the federal government issued specific regulatory guidance for fraud and abuse compliance by Medicare accountable care organizations with the intent of supporting their more flexible financial arrangements. Then, beginning in 2021, CMS and OIG expanded the AKS safe harbors and Stark exceptions (and issued further guidance), with the goals of promoting sophisticated value- based care arrangements generally and care for medically underserved people specifically. What can you find out about how well or poorly these new initiatives are faring?

Reference no: EM133604617

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