Congress has activated a new Anti-Kickback law known as Eliminating Kickbacks in Recovery Act of 2018 (commonly referred to as EKRA). The new Anti-Kickback law applies to arrangements involving recovery homes, clinical...more
6/14/2019
/ Anti-Kickback Statute ,
Clinical Laboratories ,
Criminal Prosecution ,
Eliminating Kickbacks in Recovery Act of 2018 (EKRA) ,
Health Care Providers ,
Healthcare Facilities ,
Healthcare Reform ,
Opioid ,
Pharmaceutical Industry ,
Physicians ,
Prescription Drugs ,
Safe Harbors ,
Substance Abuse
A recent Advisory Opinion (Advisory Opinion 18-03) from the Office of Inspector General (OIG) of the Department of Health and Human Services addresses potential kickback issues involved in the donation of telehealth...more
The state of Michigan has enacted a number of separate pieces of legislation to address the opioid epidemic. Most of these laws are directed at controlling the prescribing relationship between a physician and a patient....more
The Department of Justice (DOJ) recently announced the guilty plea of two individual alcohol and substance abuse treatment center owners for their participation in what the DOJ labeled a “multi-million dollar health care...more
5/24/2018
/ Anti-Kickback Statute ,
Bribery ,
Controlled Substances ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
Drug Treatment ,
Guilty Pleas ,
Health Care Providers ,
Kickbacks ,
Money Laundering ,
Opioid ,
Prescription Drugs ,
White Collar Crimes
One of the reasons compliance officers and health care attorneys read fraud settlements is to identify issues the government is focused on. The cases the government decides to pursue are very indicative of the areas of fraud...more
5/18/2018
/ Anti-Kickback Statute ,
Controlled Substances Act ,
DEA ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Medicare ,
Opioid ,
Patient Referrals ,
Pharmaceutical Industry ,
Prescription Drugs ,
Stark Law ,
Whistleblowers
The opioid epidemic is different than other drug related social problems because, in many cases, addiction to opioids starts in the medical office or in the pharmacy; in most cases through the treatment of legitimate physical...more
The Affordable Care Act added the Physician Payment Sunshine Act (Sunshine Act) as section 1128G to the Social Security Act. The Sunshine Act requires applicable manufacturers of drugs, devices, biologicals, or medical...more
4/7/2017
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Corrections ,
Medical Devices ,
Pharmaceutical Industry ,
Physician Payments ,
Physicians ,
Prescription Drugs ,
Social Security Act ,
Sunshine Act ,
Teaching Hospitals
On October 4, 2016, the Center for Medicare and Medicaid Services (CMS) published a final rule to revise the requirements that Long-Term Care facilities must meet to participate in the Medicare and Medicaid programs. CMS...more
11/3/2016
/ Binding Arbitration ,
Centers for Medicare & Medicaid Services (CMS) ,
Elder Abuse ,
Long Term Care Facilities ,
Medicaid ,
Medicare ,
Nursing Homes ,
Physicians ,
Prescription Drugs ,
Quality of Care Standards ,
Training Requirements ,
Video Recordings