Rule CG-OIG-002
Offers and pricing: what rule CG-OIG-002 checks
Rule CG-OIG-002 is one of the checker's offers and pricing rules. It cites 42 CFR 422.2263, 42 U.S.C. 1320a-7b. The reason, source and safer wording are below.
CG-OIG-002 · Blocks approval · Citation checked against stored text
Routinely waiving copays, paying premiums, billing one service as another, or offering free items to people on federal health programs can violate the anti-kickback statute and the False Claims Act.
Source: federal anti-kickback statute, 42 U.S.C. 1320a-7b; OIG Special Fraud Alert on telemedicine arrangements; 42 CFR 422.2263
Safer wording: Do not advertise copay waivers, premium payments or free items for Medicare and Medicaid patients, and bill every service accurately.
42 CFR 422.2263, 42 U.S.C. 1320a-7b · Needs counsel review
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