Outpatient Surgery Magazine - Subscribers

OR Excellence Awards 2015 - September 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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4 4 O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | S E P T E M B E R 2 0 1 5 Are Your GI Lab Services Legal? Exclusive pathology contracts can attract anti-kickback scrutiny. D o your gastroen- terologists outsource their lab- oratory services? If so, you'd best ensure that their billing arrange- ments are on the level, because a recent advisory opinion from feder- al watchdogs has put a common endoscopy center business practice under the micro- scope. Arrangements under scrutiny In a rare negative advisory opinion (osmag.net/Ah2yVT), the Department of Health & Human Services' Office of Inspector General (OIG) says that an exclusive pathology arrangement between a physician practice and a laboratory may violate the federal Anti- Kickback Statute. In particular, the OIG warned, labs that systematical- ly waive payments for patients whose insurers don't contract with the L E G A L U P D A T E John D. Fanburg, JD z A CLOSER LOOK Federal regulators are suspicious of exclusive arrangements between path labs and gastro providers.

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