MedicareWAA
Guru
- 444
I didn't know this:
"As we have previously advised, special fraud alerts are few and far between—OIG has only issued six in the past 20 years. The importance of the MA Marketing Alert, like its predecessors, should not be taken for granted because it may be instructive as to subsequent enforcement action taken by OIG and/or the U.S. Department of Justice ("DOJ")."
Also, this raised my eyebrows:
"While the MA Marketing Alert provides footnotes of only two enforcement actions resolved under the FCA as examples of allegedly problematic arrangements, the bullet point list of "Suspect Characteristics" is broader than and reaches beyond the footnote examples. This may signal OIG's awareness of and current investigations into allegedly inappropriate arrangements relating to "Suspect Characteristics" that have yet to be settled or resolved."
Source: [EXTERNAL LINK] - OIG Releases Special Fraud Alert About Suspect Payments in Marketing Arrangements Related to Medicare Advantage and Providers | JD Supra
"As we have previously advised, special fraud alerts are few and far between—OIG has only issued six in the past 20 years. The importance of the MA Marketing Alert, like its predecessors, should not be taken for granted because it may be instructive as to subsequent enforcement action taken by OIG and/or the U.S. Department of Justice ("DOJ")."
Also, this raised my eyebrows:
"While the MA Marketing Alert provides footnotes of only two enforcement actions resolved under the FCA as examples of allegedly problematic arrangements, the bullet point list of "Suspect Characteristics" is broader than and reaches beyond the footnote examples. This may signal OIG's awareness of and current investigations into allegedly inappropriate arrangements relating to "Suspect Characteristics" that have yet to be settled or resolved."
Source: [EXTERNAL LINK] - OIG Releases Special Fraud Alert About Suspect Payments in Marketing Arrangements Related to Medicare Advantage and Providers | JD Supra
