tci Medicare Compliance & Reimbursement - 2003 Issue 9

Hospitals: HOSPITALS WEIGH IN ON STAFF PRIVILEGES AND KICKBACKS

At the behest of the American Medical Association, the HHS Office of Inspector General is looking into possible kickback implications in the way hospitals grant and withhold staff privileges to physicians. But hospitals maintain that counting privileges as a payment that could amount to a kickback would open a Pandora’s Box of compliance burdens and Stark law disasters. In February correspondence with IG Janet Rehnquist, the American Hospital Association and the Federation of American Hospitals both maintain that the anti-kickback law has no bearing on staff privileges — and that interjecting the feds into credentialing decisions designed to...

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