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8 tips for engaging ACO boards to meet requirements in the Final Waivers

John Howard May 19, 2016
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Given the increased emphasis on the ACO governing body’s work in the Final Waivers, it is paramount that ACO Boards work thoughtfully through this evaluative process, documenting its consideration, analysis, and conclusions in formal Board minutes. READ MORE

OIG Updates 2015 Work Plan: New Medicare initiatives for hospitals, DMEPOS suppliers, clinical labs, GPOs

Christina Randolph June 9, 2015
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As the health care industry continues to reform its delivery of care models and payment structures, the OIG reaffirmed its continued focus on certain risk areas which pose significant management and performance challenges for HHS. READ MORE

OIG: Exclusive laboratory arrangement may violate Anti-kickback Statute and result in exclusion for excessive charges

Milada Goturi March 31, 2015
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The Office of Inspector General (“OIG”) issued Advisory Opinion 15-04, which found that an exclusive arrangement between a laboratory and its referring physician practices could violate the Federal Antikickback Statute and constitute grounds for permissive exclusion from participation in Federal healthcare programs. READ MORE