The Department of Health and Human Services has released extensive and significant revised final rules governing the Physician Self-Referral Law (the Stark law) and the Medicare Anti-Kickback Statute (AKS) in furtherance of...more
12/21/2020
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Patients ,
Payment Systems ,
Physicians ,
Safe Harbors ,
Self-Referral ,
Stark Law ,
Value-Based Care
A new federal court decision offers a ray of light to those providers defending false claims actions based on an alleged lack of medical necessity. On September 9, 2019, the United States Court of Appeals for the Eleventh...more
9/13/2019
/ Appeals ,
Bifurcation ,
Defense Strategies ,
Department of Justice (DOJ) ,
Expert Witness ,
False Claims Act (FCA) ,
Federal Contractors ,
Health Care Providers ,
Healthcare Fraud ,
Hospice ,
Interrogatories ,
Judgment Notwithstanding the Verdict (JNOV) ,
Jury Verdicts ,
Medical Necessity ,
Medicare ,
Physicians ,
Reaffirmation ,
Remand ,
Set-Asides
The U.S. Justice Department has updated its "Evaluation of Corporate Compliance Programs," a guidance document detailing topics and questions prosecutors should weigh when determining whether a company has demonstrated...more
5/29/2019
/ Ambulatory Surgery Centers ,
Board of Directors ,
Compliance ,
Corporate Executives ,
Corporate Misconduct ,
Criminal Investigations ,
Department of Justice (DOJ) ,
Disciplinary Proceedings ,
Ethics ,
Government Investigations ,
Health Care Providers ,
Hospitals ,
Internal Audit Functions ,
Internal Investigations ,
Long Term Care Facilities ,
Nursing Homes ,
Physicians ,
Tone At The Top
After reading through the hundreds of pages of the District Court's and Appeals Court's decisions, including the recent Fourth Circuit Court of Appeals decision that was filed on July 2, 2015, one thing is certain: Mixing one...more
7/15/2015
/ Agency Agreement ,
Appeals ,
Compliance ,
Employment Contract ,
False Claims Act (FCA) ,
Healthcare ,
Hospitals ,
Medicare ,
Patient Referrals ,
Physicians ,
Self-Referral Disclosure Protocol ,
Stark Law