HHS-OIG Warns Against Suspect Payments Between Medicare Advantage Organizations and Healthcare Professionals
Highlights
HHS-OIG issued a warning about suspect payments from Medicare Advantage Organizations to healthcare professionals for patient referrals
The agency also warned against payments from healthcare professionals to agents and brokers for enrollee recommendations
Actions could improperly steer Medicare enrollees to plans and violate the Anti-Kickback Statute, other laws
The Office of Inspector General of the U.S. Department of Health and Human Services (HHS-OIG) recently issued a special fraud alert focusing on questionable marketing arrangements related to Medicare Advantage (MA) plans. According to HHS-OIG, these arrangements often involve improper payments and referrals that can mislead Medicare enrollees into selecting plans or providers that may not meet their needs.
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