Economic credentialing and the fraud and abuse caveat.
Courts often uphold hospital credentialing decisions based in part on economic criteria. Nonetheless, as this article discusses, arrangements where medical staff privileges or other benefits appear to be offered to physicians as an incentive to refer patients may be suspect under the Medicare/Medicaid fraud and abuse law.
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D016363:Antitrust Laws; D003406:Credentialing / Q000191:economics* / Q000331:legislation & jurisprudence; D003659:Decision Making, Organizational; D005607:Fraud / Q000331:legislation & jurisprudence* / Q000517:prevention & control; D016365:Liability, Legal; D008484:Medicaid / Q000331:legislation & jurisprudence; D008504:Medical Staff Privileges / Q000191:economics / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence; D010816:Physician Incentive Plans / Q000331:legislation & jurisprudence*; D012017:Referral and Consultation / Q000331:legislation & jurisprudence; D014481:United States