Referrals, Kickbacks, Patient Inducements, and Marketing
Forbids paying or receiving anything of value for patient referrals, controls every financial relationship with physicians and other referral sources, limits gifts to patients, keeps marketing truthful, and applies the DC Medicaid rules that deny claims arising from staffing agency marketing or from prohibited physician relationships.
About this policy
- Policy number
- DC-HH-ETH-02
- Version
- 1.0
- Main rule
- 42 U.S.C. §1320a-7b(b)
- Library
- Washington, DC home health · 58 policies
- Category
- Ethics
- Sections
- 17
In short
- We never pay or accept anything of value for patient referrals.
- Do not give cash, gift cards, or gifts to doctors, discharge planners, or anyone who sends us patients.
- Do not offer patients free services or gifts to get them to choose us.
- Describe our services truthfully. If anyone offers you money for referrals, tell the Director at once.
What's inside
17 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))
- 5. Relationships With Physicians and Practitioners
- 6. Gifts and Hospitality
- 7. Inducements to Patients
- 8. Staffing Agencies and Marketers
- 9. Truthful Marketing and Public Information
- 10. Responsibilities
- 11. Records and Compliance Monitoring
- 12. Staff Training
- 13. References
- 14. Related Policies and Forms
- 15. Approval
- 16. Revision History
An inspector may ask
- Do you pay anyone, including marketers or staffing agencies, for referrals?
- Show me your written agreements with any physician who refers patients to you.
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