WebJan 1, 2001 · The term “ beneficiary ” means an individual who is eligible to receive items or services for which payment may be made under a Federal health care program (as so … WebApr 14, 2024 · OIG stated that although the arrangement constitutes remuneration and implicates the beneficiary inducement CMP, it poses sufficiently low risks because the specialty pharmacy is the only pharmacy that dispenses the drug and the possibility of receiving the initial free 14-day supply is not likely to influence future purchases of other ...
Patient Inducements: Gifts, Discounts, Waiving Co-Pays, …
WebJun 11, 2024 · The Federal anti-kickback statute and Beneficiary Inducements CMP relate to items and services for which payment may be made in whole or in part under a Federal health care program. Consequently, it is unlikely that these statutes would be violated by incentives and rewards furnished to commercially insured or uninsured individuals. The … WebThe federal Beneficiary Inducement Statute (“BIS”) prohibits an individual or entity from providing remuneration to patients who are eligible for Medicare or Medicaid benefits if that individual or entity knows (or should know) that doing so is likely to influence the patient’s decision to order or receive items or services from a particular … how to calculate restaurant seating capacity
What is a CMP and how does it apply to the LEIE Database?
WebJun 15, 2024 · Bass, Berry & Sims attorney Stewart Kameen will speak on a panel in the American Health Law Association Fraud and Abuse webinar series titled “Fraud and Abuse Bootcamp, Part III: The Beneficiary Inducement CMP”. The session will take place on June 15, 2024 from 2:00 – 3:30 p.m. Stewart will be joined by Elizabeth Isbey, Deputy Branch ... WebJan 18, 2024 · The AKS and beneficiary inducement prohibition of the CMP law are creatures of a fee-for-service reimbursement world, intended in part to avoid overutilization and improper increases in federal health care program costs. In the context of patient engagement and assistance initiatives, these laws generally prohibit the provision of … WebFeb 15, 2024 · The beneficiary inducement statute is implicated if a person offers or transfers remuneration to a Medicare or Medicaid beneficiary that the person knows or should know is likely to influence … how to calculate resting alveolar ventilation