Referrals, Kickbacks, Patient Inducements, and Marketing Accuracy
Prohibits paying or receiving anything of value for referrals, offering patients inducements to choose the Agency, and certification by practitioners with a disqualifying financial relationship, and requires every public statement, advertisement, and marketing activity to describe the Agency’s services accurately.
About this policy
- Policy number
- GA-HH-ETH-02
- Version
- 1.0
- Main rule
- 42 U.S.C. §1320a-7b(b)
- Library
- Georgia home health · 56 policies
- Category
- Ethics
- Sections
- 16
In short
- Never offer or accept money, gifts, or favors for patient referrals.
- Do not give patients gifts to choose our Agency, and do not waive copays unless the Administrator approves it for hardship.
- Only describe services we really provide, in the counties we serve.
- If anyone offers you something for a referral, tell the compliance officer.
What's inside
16 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 U.S.C. §1320a-7b(b) and Ga. Comp. R. & Regs. 111-8-31-.07(4))
- 5. Relationships With Referral Sources
- 6. Gifts, Meals, and Free Services
- 7. Marketing Staff
- 8. Accurate Public Information
- 9. Responsibilities
- 10. Records and Compliance Monitoring
- 11. Staff Training
- 12. References
- 13. Related Policies and Forms
- 14. Approval
- 15. Revision History
An inspector may ask
- What financial relationships do you have with physicians, hospitals, or other referral sources? Who reviewed them?
- Do you give patients or referral sources any gifts, meals, or free services?
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