Gainsharing may be beneficial for your bottom line in medical billing, but it raises a lot of suspicion for the Centers for Medicare & Medicaid Services. The HHR Office of Inspector General believes gainsharing can be questionable because it can violate anti-kickback policy, and the Stark Law. The Office of Inspector General states there are three fraud safeguards to use when using gainsharing medical billing. First, when utilizing gainsharing arrangements, you should be sure your organization promotes accountability. If you are accountable for your policies and medical billing procedures, you look a lot less suspicious. Another gainsharing safeguard to use is to limit any payment that could change referral patterns. …