July 13, 2021
OIG Advisory Opinion on Spinal Implants
- by Sean Weiss, Partner & VP of Compliance
This (link) is a really interesting Advisory Opinion issued by the OIG regarding a proposal under which a spinal implant manufacturer would offer its products to hospitals at a reduced price if the hospitals agree to assume certain duties related to the products (the “Proposed Arrangement”).
Specifically, the requestor inquired whether the Proposed Arrangement would constitute grounds for the imposition of sanctions under: (i) the civil monetary penalty provision for a hospital’s payment to a physician to induce the reduction or limitation of medically necessary services to Medicare or Medicaid beneficiaries under the physician’s direct care, sections 1128A(b)(1)–(2) of the Social Security Act (the “Act”); or (ii) the exclusion authority at section 1128(b)(7) of the Act or the civil monetary penalty provision at section 1128A(a)(7) of the Act, as those sections relate to the commission of acts described in section 1128B(b) of the Act (“the Federal antikickback statute”).
The OIG indicated it would not violate the statute(s) or Act based on the facts submitted but the requestor needed to keep in mind that OIG did not perform an independent evaluation.
By Sean M. Weiss, Partner, Vice President, and Chief Compliance Officer
Sean M. Weiss is a Partner and Chief Compliance Officer for DoctorsManagement, LLC. Sean provides strategic litigation defense services and a host of regulatory compliance services for clients nationally.
Learn more about Sean’s expertise at www.thecomplianceguy.com.
What to do next…
- If you need help with an audit appeal or regulatory compliance concern, contact us at (800) 635-4040 or via email at [email protected].
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