Cloud-based physician software and billing services vendor athenahealth Inc. is expressing disappointment and frustration with a policy reversal by the Department of Health and Human Services' Office of Inspector General. The OIG terminated its own 2011 advisory opinion regarding the company's online service that facilitates the exchange of information between healthcare providers and suppliers.

In 2011, athenahealth asked the OIG whether it could apply an “in-network/out-of-network” model to healthcare transactions at a cost of $1.00 per transaction to "accelerate the rate of adoption of electronic information exchange." However, three years later, OIG has changed its previous conclusion that athenahealth's fee structure "would be unlikely to influence an ordering health professional’s referral decisions in a material way." 

Register or login for access to this item and much more

All Health Data Management content is archived after seven days.

Community members receive:
  • All recent and archived articles
  • Conference offers and updates
  • A full menu of enewsletter options
  • Web seminars, white papers, ebooks

Don't have an account? Register for Free Unlimited Access