OIG Focuses Fraud Efforts on Physician Compensation

A recent U.S. Office of Inspector General (OIG) fraud alert warns that physician compensation arrangements may result in significant liability. 

"Physicians who enter into compensation arrangements such as medical directorships must ensure that those arrangements reflect fair market value for bona fide services the physicians actually provide," the alert states. "Although many compensation arrangements are legitimate, a compensation arrangement may violate the anti-kickback statute if even one purpose of the arrangement is to compensate a physician for his or her past or future referrals of federal health care program business. OIG encourages physicians to carefully consider the terms and conditions of medical directorships and other compensation arrangements before entering into them."

OIG recently reached settlements with 12 physicians who entered into "questionable medical directorship and office staff arrangements."

In the alert, OIG adds that "those who commit fraud involving federal health care programs are subject to possible criminal, civil, and administrative sanctions." OIG has more information on physician relationships:  

Action, July 1, 2015

Last Updated On

June 03, 2016