O'Hare Patrick K
Healthc Financ Manage. 2003 Sep;57(9):56-60.
A recent OIG Special Advisory Bulletin raises questions for providers involved in joint ventures. The Bulletin describes several characteristics that the OIG views as potentially suspect, including a referral stream controlled by the provider initiating the joint venture and the use of a wholly owned subsidiary of the provider to bill and collect for services. According to the OIG, profits paid by the subsidiary to the provider owner in such "suspect contractual joint ventures" could constitute illegal remuneration for referrals.
美国卫生保健财务管理局(OIG)最近发布的一份特别咨询公告引发了参与合资企业的医疗服务提供者的诸多疑问。该公告描述了OIG认为可能存在问题的几个特征,包括由发起合资企业的医疗服务提供者控制的转诊渠道,以及使用该医疗服务提供者的全资子公司进行服务计费和收款。据OIG称,在这类“可疑的合同合资企业”中,子公司向医疗服务提供者所有者支付的利润可能构成转诊的非法报酬。