OIG Issues Special Fraud Alert Regarding Marketing Payments Related to Medicare Advantage
By EsqSocial Corporation 23/12/24
On December 11, 2024, OIG issued a Special Fraud Alert to warn the industry about the fraud and abuse risks associated with abusive Medicare Advantage (MA) organization (MAO) and agent and broker relationships with healthcare professionals (HCPs). OIG’s Special Fraud Alert specifically focuses on two categories of remuneration that OIG states implicate the federal Anti-Kickback Statute (AKS) and have led to recent settlements under the False Claims Act: (1) “payments from MAOs to HCPs or their...
By: King & Spalding