on May 11, 2010 |
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Topics: Revenue Capture, Revenue Cycle, Finance
In our 2009 National Meeting research on preauthorizations, we talked about the potential for cancer programs to obtain preauthorizations on behalf of referring physicians. At the time, we cautioned people that, while several cancer programs have engaged in this practice, it was a legal gray area and that any organization considering this strategy should seek legal counsel.
This week the OIG has released an advisory opinion indicating that, while securing preauthorizations or precertifications on behalf of referring physicians at no cost may violate federal anti-kickback statutes, the OIG would not impose administrative sanctions on providers that do so.