Tomes J
Illinois Institute of Technology, Chicago-Kent College of Law.
Healthc Financ Manage. 1994 Feb;48(2):32-4, 36.
In today's competitive healthcare environment, healthcare facilities and individual providers must form new relationships to safeguard their market positions and compete efficiently. But while such relationships are necessary and serve legitimate goals, those entering into such arrangements must be concerned that in so doing they do not run afoul of the Medicare and Medicaid fraud and abuse statute. This article examines the potential dangers of remuneration for referrals, and explains how one of the many so-called "safe harbor" provisions of the fraud and abuse statute applies to this practice.
在当今竞争激烈的医疗环境中,医疗机构和个体医疗服务提供者必须建立新的合作关系,以维护其市场地位并高效竞争。然而,尽管这种关系是必要的,且服务于合理的目标,但参与此类安排的各方必须注意,不能因此违反医疗保险和医疗补助欺诈与滥用法案。本文探讨了因转诊而支付报酬的潜在风险,并解释了欺诈与滥用法案中众多所谓的“安全港”条款之一如何适用于这种行为。