Monday, April 15, 2013

Elder Care Establishments Should Not Pay Referral Fees


A lording it over, on the books compared with 1972, called the Good Harbor Provisions states, to some extent, "the federal anti-kickback law's main objective is to protect patients as well as the federal health care way back in from fraud and abuse by curtailing the corrupting influence of clinking coins on health care decisions"... it procedes say,... "anyone who knowingly and also willfully receives or pays anything valueable to influence the referral of federal medicinal program business, including Treatment and Medicaid, can materialize accountable for a thief. See http: //oig. hhs. gov/fraud/docs/safeharborregulations/safefs. htm

Violations toward the law are punishable by involve that much five years in the penitentiary, criminal fines up to figure $25, 000, administrative civil money penalties approx $50, 000, and exclusion from participation in federal vision programs. "

A referral service serves your senior and the mommy care service provider in this fashion:

Service providers register in to referral service

A senior choosing service is asked inside their location

The referral company completely emails, phones or faxes each service very quickly desired zip code to offer this referral. (You are given the name, phone number and address regarding senior)

You and your agents quickly respond - you know dwi there first, you have a higher chance for contracting with the senior

The senior now receives multiple calling from nice people who all say the same principal, "You should choose my offer because we are the best"

You contract with the senior

The referral company now provides you with a bill. The bill is normally good dollar amount you punishment the senior.

(Example: An Assisted Living facility that charges $3, 000 per month need owe the referral treatment a fee of $1, 500. Each of their neighbor, the Assisted Living facility next door charges $1, 500 per 30 days and will owe the same referral service a fee for $750. 00 for the same client, same service)

Representatives of referral companies normally approach commissions. This can also pose a major problem. If a family's income about earning a high rates, the temptation may be there to direct a senior to the service that

a. Charges more

b. Where the staff has previous 'closing' the sale.

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