Kickback Archives - Wisdom. Applied. https://blog.weisspc.com/category/kickback/ Wisdom Applied - Decoding the Business of Healthcare — Mark Weiss’s Perspective Tue, 08 Sep 2026 22:37:42 +0000 en-US hourly 1 183918279 The DOJ Doesn’t Care That You Didn’t Know https://blog.weisspc.com/anti-kickback-trap-physicians/ https://blog.weisspc.com/anti-kickback-trap-physicians/#respond Tue, 08 Sep 2026 16:14:49 +0000 https://blog.weisspc.com/?p=37236 Most physicians charged under the Anti-Kickback Statute aren't criminal masterminds. They're busy professionals who signed agreements they never fully vetted. Here's why medical directorships, consulting arrangements, and referral relationships deserve a second look before the DOJ does it for you.

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]]> https://blog.weisspc.com/anti-kickback-trap-physicians/feed/ 0 37236 A Novel Approach to ASC Structure: Distributions In Proportion to Production. https://blog.weisspc.com/asc-structure-distributions-based-on-production/ https://blog.weisspc.com/asc-structure-distributions-based-on-production/#respond Mon, 02 Mar 2026 16:30:41 +0000 https://blog.weisspc.com/?p=36993 Four surgeons practicing together, ophthalmologists, for example, plan to build their own ASC. It goes without saying that they would think that distributions from their ASC must be in proportion to ownership interests. But that’s not necessarily true.

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]]> https://blog.weisspc.com/asc-structure-distributions-based-on-production/feed/ 0 36993 Five Ophthalmology Practices See Eye to Eye in False Claims Act Settlement https://blog.weisspc.com/ophthalmology-kickback-false-claims-act-settlement/ https://blog.weisspc.com/ophthalmology-kickback-false-claims-act-settlement/#respond Mon, 19 Jan 2026 16:44:08 +0000 https://blog.weisspc.com/?p=36695 Five ophthalmology practices agreed to pay nearly $6M over alleged kickbacks and unnecessary testing. Learn the FCA risks every physician group must understand.

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]]> https://blog.weisspc.com/ophthalmology-kickback-false-claims-act-settlement/feed/ 0 36695 Off to Prison. An Update on How to Almost Make Half a Billion Dollars: The Arizona Wound Graft Fraud https://blog.weisspc.com/wound-care-graft-fraud/ https://blog.weisspc.com/wound-care-graft-fraud/#respond Mon, 22 Dec 2025 16:41:12 +0000 https://blog.weisspc.com/?p=36464 Now that they’ve been sentenced to prison, I can reveal the fate of the healthcare power couple, Alexandra Gehrke and her husband, Jeffrey King, whose wound care graft graft put close to $615,000,000 in their pockets, albeit temporarily.

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]]> https://blog.weisspc.com/wound-care-graft-fraud/feed/ 0 36464 You Can’t Lipstick That Pig: Why Physicians Must Carefully Vet Deals https://blog.weisspc.com/you-cant-lipstick-that-pig-why-physicians-must-carefully-vet-deals/ https://blog.weisspc.com/you-cant-lipstick-that-pig-why-physicians-must-carefully-vet-deals/#respond Mon, 21 Jul 2025 16:45:19 +0000 https://blog.weisspc.com/?p=35015 Deals involving management services agreements, consulting contracts, or similar structures can appear completely legal at first glance. But dig deeper, and they might turn out to be elaborate covers for kickbacks or bribes.

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]]> https://blog.weisspc.com/you-cant-lipstick-that-pig-why-physicians-must-carefully-vet-deals/feed/ 0 35015 The Nation’s Largest Health Care Fraud Bust, Plus Bureaucratic Negligence https://blog.weisspc.com/the-nations-largest-health-care-fraud-bust-plus-bureaucratic-negligence/ https://blog.weisspc.com/the-nations-largest-health-care-fraud-bust-plus-bureaucratic-negligence/#respond Mon, 07 Jul 2025 15:52:01 +0000 https://blog.weisspc.com/?p=34540 It’s been said that people read published lists of disciplined fellow professionals out of a sense of schadenfreude, the pleasure derived from another’s misfortune.

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]]> https://blog.weisspc.com/the-nations-largest-health-care-fraud-bust-plus-bureaucratic-negligence/feed/ 0 34540 What Every Physician Must Know About Gilead Sciences’ $202 Million Kickback Settlement https://blog.weisspc.com/gilead-kickback-civil-settlement/ https://blog.weisspc.com/gilead-kickback-civil-settlement/#respond Wed, 30 Apr 2025 15:42:03 +0000 https://blog.weisspc.com/?p=32273 The settlement resolved civil claims against Gilead. The deal did not include any resolution of potential criminal liability. Will the feds pursue Gilead criminally?

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]]> https://blog.weisspc.com/gilead-kickback-civil-settlement/feed/ 0 32273 From Insurance Watchdog to Prisoner: A Cautionary Tale for Healthcare Professionals https://blog.weisspc.com/from-insurance-watchdog-to-prisoner/ https://blog.weisspc.com/from-insurance-watchdog-to-prisoner/#respond Mon, 24 Feb 2025 18:04:50 +0000 https://blog.weisspc.com/?p=31603 From insurance commissioner to healthcare fraudster to federal prison inmate.

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]]> https://blog.weisspc.com/from-insurance-watchdog-to-prisoner/feed/ 0 31603 How to Almost Make Half a Billion Dollars: The Arizona Wound Graft Fraud https://blog.weisspc.com/how-to-almost-make-half-a-billion-dollars/ https://blog.weisspc.com/how-to-almost-make-half-a-billion-dollars/#respond Mon, 10 Feb 2025 15:58:37 +0000 https://blog.weisspc.com/?p=31571 If you thought health care fraud required medical knowledge, think again.

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]]> https://blog.weisspc.com/how-to-almost-make-half-a-billion-dollars/feed/ 0 31571 Nudge Triggers a $17 Million False Claims Act Settlement https://blog.weisspc.com/nudge-triggers-a-17-million/ https://blog.weisspc.com/nudge-triggers-a-17-million/#respond Mon, 03 Feb 2025 17:47:04 +0000 https://blog.weisspc.com/?p=31563 A fraud by any other name would smell as bad.

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]]> https://blog.weisspc.com/nudge-triggers-a-17-million/feed/ 0 31563 Probably the Most Valuable Anti-Kickback Lesson of All Time https://blog.weisspc.com/probably-the-most-valuable-anti-kickback-lesson/ https://blog.weisspc.com/probably-the-most-valuable-anti-kickback-lesson/#respond Mon, 09 Dec 2024 17:16:29 +0000 https://blog.weisspc.com/?p=31480 Although no one is going to do time as a result of thinking that wet sidewalks cause rain, in the case of the federal Anti-Kickback Statute, confusion over correlation can put you in jail.

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]]> https://blog.weisspc.com/probably-the-most-valuable-anti-kickback-lesson/feed/ 0 31480 Why Reverse Kickbacks Can Send You Back Up the River https://blog.weisspc.com/why-reverse-kickbacks/ https://blog.weisspc.com/why-reverse-kickbacks/#respond Mon, 23 Sep 2024 15:24:37 +0000 https://blog.weisspc.com/?p=31379 Cars go in reverse. So do ceiling fans and electric drills. But did you know that kickbacks go in reverse, too, and that there’s no safe harbor for that?

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]]> https://blog.weisspc.com/why-reverse-kickbacks/feed/ 0 31379 Free isn’t Free When It Costs Close to $10 Million in AKS Settlements – Success in Motion https://blog.weisspc.com/10-million-aks-settlements-sim/ https://blog.weisspc.com/10-million-aks-settlements-sim/#respond Tue, 09 Jul 2024 09:33:00 +0000 https://blog.weisspc.com/?p=31112 Ride along with Mark while he discusses a recent AKS statute settlement that proves that free isn’t always free.

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]]> https://blog.weisspc.com/10-million-aks-settlements-sim/feed/ 0 31112 Compounding the Kickback Problem – Medical Group Minute https://blog.weisspc.com/compounding-the-kickback-problem-video/ https://blog.weisspc.com/compounding-the-kickback-problem-video/#respond Wed, 03 Jul 2024 09:50:00 +0000 https://blog.weisspc.com/?p=31073 Compounding pharmaceuticals, specific drugs for specific patients, offers tremendous benefit. The problems arise when the benefit is for the prescribing physician.

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]]> https://blog.weisspc.com/compounding-the-kickback-problem-video/feed/ 0 31073 OIG Permits Deferred Payment Physician Partner Buyout – Podcast https://blog.weisspc.com/oig-permits-deferred-payment-physician-partner-buyout-audio/ https://blog.weisspc.com/oig-permits-deferred-payment-physician-partner-buyout-audio/#respond Thu, 11 Apr 2024 07:16:00 +0000 https://blog.weisspc.com/?p=30773 Even though many physicians and facility administrators don’t realize it, a revolving door can be a useful analogy for anti-kickback analysis. Or, I suppose, just for kickbacks.

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]]> https://blog.weisspc.com/oig-permits-deferred-payment-physician-partner-buyout-audio/feed/ 0 30773 OIG Permits Deferred Payment Physician Partner Buyout – Medical Group Minute https://blog.weisspc.com/oig-permits-deferred-payment-physician-partner-buyout-video/ https://blog.weisspc.com/oig-permits-deferred-payment-physician-partner-buyout-video/#respond Wed, 27 Mar 2024 07:32:00 +0000 https://blog.weisspc.com/?p=30756 Even though many physicians and facility administrators don’t realize it, a revolving door can be a useful analogy for anti-kickback analysis. Or, I suppose, just for kickbacks.

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]]> https://blog.weisspc.com/oig-permits-deferred-payment-physician-partner-buyout-video/feed/ 0 30756 Physician Behind Bars for Referrals: Kickbacks, Bribes, and Mail Fraud – Podcast https://blog.weisspc.com/physician-kickback-mail-fraud-case-audio/ https://blog.weisspc.com/physician-kickback-mail-fraud-case-audio/#respond Thu, 08 Feb 2024 12:29:00 +0000 https://blog.weisspc.com/?p=30638 Every new, and every existing, financial relationship with anyone or any entity with which physicians and other healthcare providers do business must be vetted or re-vetted in light of today’s enforcement reality.

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]]> https://blog.weisspc.com/physician-kickback-mail-fraud-case-audio/feed/ 0 30638 Pharmacy President Sentenced For Pill and Pain Cream Scam. Will Physicians Become Cellmates? https://blog.weisspc.com/pharmacy-president-sentenced-for-pill-and-pain-cream-scam-will-physicians-become-cellmates/ https://blog.weisspc.com/pharmacy-president-sentenced-for-pill-and-pain-cream-scam-will-physicians-become-cellmates/#respond Mon, 29 Jan 2024 17:10:04 +0000 https://blog.weisspc.com/?p=30628 In cases such as these the usual process is for prosecutors to follow the web of the alleged conspiracy.

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]]> https://blog.weisspc.com/pharmacy-president-sentenced-for-pill-and-pain-cream-scam-will-physicians-become-cellmates/feed/ 0 30628 Did Ultragenyx Confuse Its Drug Crysvita With Kris Kringle? Drug Maker Settles Alleged Kickback Allegations https://blog.weisspc.com/ultragenyx-cryvita-kickback-settlement/ https://blog.weisspc.com/ultragenyx-cryvita-kickback-settlement/#respond Mon, 22 Jan 2024 17:00:27 +0000 https://blog.weisspc.com/?p=30604 The allegations surrounding Ultragenyx demonstrate the AKS issues within arrangements that, to many, are difficult to envision as being referrals.

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]]> https://blog.weisspc.com/ultragenyx-cryvita-kickback-settlement/feed/ 0 30604 OIG Permits Deferred Payment Physician Partner Buyout https://blog.weisspc.com/oig-permits-deferred-payment-physician-partner-buyout/ https://blog.weisspc.com/oig-permits-deferred-payment-physician-partner-buyout/#respond Mon, 15 Jan 2024 16:39:52 +0000 https://blog.weisspc.com/?p=30595 Even though many physicians and facility administrators don’t realize it, a revolving door can be a useful analogy for anti-kickback analysis. Or, I suppose, just for kickbacks.

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]]> https://blog.weisspc.com/oig-permits-deferred-payment-physician-partner-buyout/feed/ 0 30595 Love at First Blight: Surgeon and Fiancée Settle Kickback Allegations – Podcast https://blog.weisspc.com/surgeon-kickback-settlement-audio/ https://blog.weisspc.com/surgeon-kickback-settlement-audio/#respond Thu, 28 Dec 2023 09:00:00 +0000 https://blog.weisspc.com/?p=30014 Love might be blind, but whistleblowers aren't.

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]]> https://blog.weisspc.com/surgeon-kickback-settlement-audio/feed/ 0 30014 It’s National Kickback Day! (Sort of like Groundhog Day, But More Expensive) – Medical Group Minute https://blog.weisspc.com/healthcare-kickback-recurrence-risk-video/ https://blog.weisspc.com/healthcare-kickback-recurrence-risk-video/#respond Wed, 08 Nov 2023 09:21:00 +0000 https://blog.weisspc.com/?p=30408 Sometimes, I think it's Groundhog Day.

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]]> https://blog.weisspc.com/healthcare-kickback-recurrence-risk-video/feed/ 0 30408 It’s National Kickback Day! (Sort of like Groundhog Day, But More Expensive) – Podcast https://blog.weisspc.com/healthcare-kickback-recurrence-risk-audio/ https://blog.weisspc.com/healthcare-kickback-recurrence-risk-audio/#respond Thu, 26 Oct 2023 08:38:00 +0000 https://blog.weisspc.com/?p=30416 Sometimes, I think it's Groundhog Day.

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]]> https://blog.weisspc.com/healthcare-kickback-recurrence-risk-audio/feed/ 0 30416 Putting a Limit on Your Obligation To Indemnify – Podcast https://blog.weisspc.com/putting-limit-obligation-indemnify-audio/ https://blog.weisspc.com/putting-limit-obligation-indemnify-audio/#respond Thu, 19 Oct 2023 11:23:00 +0000 https://blog.weisspc.com/?p=30375 You might skip over indemnification provisions when negotiating a contract. You understand what they are. They’re just boilerplate, right? Wrong.

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]]> https://blog.weisspc.com/putting-limit-obligation-indemnify-audio/feed/ 0 30375 Another Refill on Compound Drugs: Miracle Cure or Kickback Lure? https://blog.weisspc.com/another-refill-on-compound-drugs-miracle-cure-or-kickback-lure/ https://blog.weisspc.com/another-refill-on-compound-drugs-miracle-cure-or-kickback-lure/#respond Mon, 16 Oct 2023 15:34:38 +0000 https://blog.weisspc.com/?p=30388 It’s the middle ground between light and shadow, between medical science and stupidity...

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]]> https://blog.weisspc.com/another-refill-on-compound-drugs-miracle-cure-or-kickback-lure/feed/ 0 30388 It’s National Kickback Day! (Sort of like Groundhog Day, But More Expensive) https://blog.weisspc.com/healthcare-kickback-recurrence-risk/ https://blog.weisspc.com/healthcare-kickback-recurrence-risk/#respond Mon, 02 Oct 2023 15:14:52 +0000 https://blog.weisspc.com/?p=30340 Explore the complexities of kickback schemes and learn how to navigate the legal landscape in healthcare effectively.

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]]> https://blog.weisspc.com/healthcare-kickback-recurrence-risk/feed/ 0 30340 New OIG Advisory Opinion on Contractual Joint Venture Creates Tidal Wave in Anesthesia and Other Referral Based Specialties https://blog.weisspc.com/oig-advisory-opinion-aks-joint-venture-risk/ https://blog.weisspc.com/oig-advisory-opinion-aks-joint-venture-risk/#respond Mon, 28 Aug 2023 11:55:00 +0000 https://blog.weisspc.com/?p=30234 Even if you have no interest in neuromonitoring, the concepts discussed in the advisory opinion impact business schemes in other referral-based specialties, notably in regard to anesthesia in the ambulatory surgery setting.

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]]> https://blog.weisspc.com/oig-advisory-opinion-aks-joint-venture-risk/feed/ 0 30234 Preserving the Past – Medical Group Minute https://blog.weisspc.com/preserving-the-past-video/ https://blog.weisspc.com/preserving-the-past-video/#respond Wed, 23 Aug 2023 09:19:00 +0000 https://blog.weisspc.com/?p=30048 Physician groups are targets--hedge by taking risks outside of your current base.

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]]> https://blog.weisspc.com/preserving-the-past-video/feed/ 0 30048 Physicians Must Brand Their Role in Healthcare or Suffer the Consequences – Podcast https://blog.weisspc.com/physician-branding-security-employment-audio/ https://blog.weisspc.com/physician-branding-security-employment-audio/#respond Thu, 10 Aug 2023 11:55:00 +0000 https://blog.weisspc.com/?p=30012 As hospitals quicken their pace to replace physicians with paraprofessionals, physicians must brand their role in healthcare or suffer the consequences.

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]]> https://blog.weisspc.com/physician-branding-security-employment-audio/feed/ 0 30012 Love at First Blight: Surgeon and Fiancée Settle Kickback Allegations – Medical Group Minute https://blog.weisspc.com/surgeon-kickback-settlement-video/ https://blog.weisspc.com/surgeon-kickback-settlement-video/#respond Wed, 02 Aug 2023 11:04:00 +0000 https://blog.weisspc.com/?p=29975 Love might be blind, but whistleblowers aren't.

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]]> https://blog.weisspc.com/surgeon-kickback-settlement-video/feed/ 0 29975 Pharmacist Compounds Problems with $50 Million Kickback Scam – Success in Motion https://blog.weisspc.com/pharmacist-compounds-50-million-kickback-scam-sim/ https://blog.weisspc.com/pharmacist-compounds-50-million-kickback-scam-sim/#respond Tue, 11 Jul 2023 07:53:00 +0000 https://blog.weisspc.com/?p=29913 Ride along with Mark as he discusses yet another pharmacy and physician compounded medication scam.

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]]> https://blog.weisspc.com/pharmacist-compounds-50-million-kickback-scam-sim/feed/ 0 29913 Take a Hammer to Average – Podcast https://blog.weisspc.com/take-a-hammer-to-average-podcast/ https://blog.weisspc.com/take-a-hammer-to-average-podcast/#respond Thu, 06 Apr 2023 11:03:00 +0000 https://blog.weisspc.com/?p=28929 Medical groups have two problems: They move too slow and do what everyone else does.

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]]> https://blog.weisspc.com/take-a-hammer-to-average-podcast/feed/ 0 28929 Pharmacist Compounds Cream With Kickbacks – Gets 18 Months Behind Bars. A Lesson for Physicians. https://blog.weisspc.com/pharmacist-compounds-cream-with-kickbacks-gets-18-months-behind-bars-a-lesson-for-physicians/ https://blog.weisspc.com/pharmacist-compounds-cream-with-kickbacks-gets-18-months-behind-bars-a-lesson-for-physicians/#respond Mon, 03 Apr 2023 16:05:49 +0000 https://blog.weisspc.com/?p=28763 Unfortunately, pain cream scams often spread to physicians, sometimes even to hospital-based physicians looking to pick up a little (well, actually, a lot) of cash on the side.

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]]> https://blog.weisspc.com/pharmacist-compounds-cream-with-kickbacks-gets-18-months-behind-bars-a-lesson-for-physicians/feed/ 0 28763 Love at First Blight: Surgeon and Fiancée Settle Kickback Allegations https://blog.weisspc.com/surgeon-kickback-settlement/ https://blog.weisspc.com/surgeon-kickback-settlement/#respond Tue, 28 Mar 2023 11:09:00 +0000 https://blog.weisspc.com/?p=28668 Love might be blind, but whistleblowers aren't.

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]]> https://blog.weisspc.com/surgeon-kickback-settlement/feed/ 0 28668 DuPuy Pays Millions to Settle, But This Kickback Lesson is Free For You https://blog.weisspc.com/dupuy-multimillion-settlement-kickback/ https://blog.weisspc.com/dupuy-multimillion-settlement-kickback/#respond Mon, 30 Jan 2023 16:50:18 +0000 https://blog.weisspc.com/?p=28485 The AKS prohibits offering, paying, soliciting, or receiving remuneration to induce referrals of items or services covered by Medicare and other federally funded programs.

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]]> https://blog.weisspc.com/dupuy-multimillion-settlement-kickback/feed/ 0 28485 A Stark Reminder About “Normal” Business Practices That Violate the AKS – Success in Motion https://blog.weisspc.com/normal-business-practices-that-violate-aks-sim/ https://blog.weisspc.com/normal-business-practices-that-violate-aks-sim/#respond Tue, 27 Dec 2022 12:00:00 +0000 https://blog.weisspc.com/?p=28227 Sit back and relax while Mark warns you that kickback violations can arise from what are usually seen as common business practices.

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]]> https://blog.weisspc.com/normal-business-practices-that-violate-aks-sim/feed/ 0 28227 OIG Hangs Up on Telehealth Fraud. Should You Answer the Call? https://blog.weisspc.com/oig-hangs-up-on-telehealth-fraud-should-you-answer-the-call/ https://blog.weisspc.com/oig-hangs-up-on-telehealth-fraud-should-you-answer-the-call/#respond Mon, 26 Dec 2022 14:18:51 +0000 https://blog.weisspc.com/?p=28353 Often lost on physicians is the fact that even though they might not be the moving party involved in the scam, liability falls on both sides of a kickback scheme.

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]]> https://blog.weisspc.com/oig-hangs-up-on-telehealth-fraud-should-you-answer-the-call/feed/ 0 28353 Opting Out to Opt-in For Yourself – Medical Group Minute https://blog.weisspc.com/opting-out-to-opt-in-for-yourself-video/ https://blog.weisspc.com/opting-out-to-opt-in-for-yourself-video/#respond Wed, 21 Dec 2022 12:03:00 +0000 https://blog.weisspc.com/?p=28342 I'm no enemy of fast food. I just don't want to eat it.

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]]> https://blog.weisspc.com/opting-out-to-opt-in-for-yourself-video/feed/ 0 28342 Doctor Walks Into DME Telehealth Fraud Scheme. Brace Yourself to Avoid the Same Fate. https://blog.weisspc.com/dme-telehealth-fraud-risk-prevention/ https://blog.weisspc.com/dme-telehealth-fraud-risk-prevention/#respond Mon, 31 Oct 2022 13:42:00 +0000 https://blog.weisspc.com/?p=28188 With lots of money at play, it’s not hard to see why the government is motivated to investigate and prosecute in order to obtain huge fines and the benefit of the forfeiture millions of dollars.

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]]> https://blog.weisspc.com/dme-telehealth-fraud-risk-prevention/feed/ 0 28188 FMV Is No More Anti-Kickback Compliance Than Ground Pepper Is Pot Roast – Medical Group Minute https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-video/ https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-video/#respond Wed, 26 Oct 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27871 Structuring a payment or a transaction such that the deal is at fair market value is not the be-all and end-all of AKS compliance.

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]]> https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-video/feed/ 0 27871 Hospital-Based Services, Not Hot Dogs – Podcast https://blog.weisspc.com/hospital-based-services-not-hot-dogs-audio/ https://blog.weisspc.com/hospital-based-services-not-hot-dogs-audio/#respond Thu, 13 Oct 2022 11:00:00 +0000 https://blog.weisspc.com/?p=28134 If you're selling medical services but collecting only peanuts (or even hot dogs) let me know. You need a better agent.

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]]> https://blog.weisspc.com/hospital-based-services-not-hot-dogs-audio/feed/ 0 28134 Don’t Sleepwalk Into An Anti-Kickback Statue Violation https://blog.weisspc.com/avoid-anti-kickback-violations-healthcare/ https://blog.weisspc.com/avoid-anti-kickback-violations-healthcare/#respond Mon, 03 Oct 2022 16:47:11 +0000 https://blog.weisspc.com/?p=28097 Even though the AKS has been in existence since the early 1970’s, many subject to it appear to be prone to violate it.

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]]> https://blog.weisspc.com/avoid-anti-kickback-violations-healthcare/feed/ 0 28097 Amazon Turns its Inventory of Healthcare Ventures – What it Means for You https://blog.weisspc.com/amazon-healthcare-ventures-impact/ https://blog.weisspc.com/amazon-healthcare-ventures-impact/#respond Mon, 29 Aug 2022 17:05:12 +0000 https://blog.weisspc.com/?p=28001 Unlike most medical groups and even most hospital systems, Amazon is bursting with dollars and with the energy to aim for the fences and to keep swinging away.

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]]> https://blog.weisspc.com/amazon-healthcare-ventures-impact/feed/ 0 28001 Free Services (Like Medical Directorships) Are Slippery Slide to Compliance Hell – Success in Motion https://blog.weisspc.com/free-services-compliance-hell-sim/ https://blog.weisspc.com/free-services-compliance-hell-sim/#respond Tue, 23 Aug 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27983 Ride along with Mark as he discusses how competing via providing free services, such as uncompensated medical directorships, or giving into a facility’s demand for free services, is a violation of the federal anti-kickback statute.

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]]> https://blog.weisspc.com/free-services-compliance-hell-sim/feed/ 0 27983 FMV Is No More Anti-Kickback Compliance Than Ground Pepper Is Pot Roast – Podcast https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-audio/ https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-audio/#respond Thu, 11 Aug 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27884 Structuring a payment or a transaction such that the deal is at fair market value is not the be-all and end-all of AKS compliance.

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]]> https://blog.weisspc.com/fmv-anti-kickback-compliance-myth-audio/feed/ 0 27884 Musical Administrator Chairs and Off-The-Record Side Deals – Success in Motion https://blog.weisspc.com/musical-administrator-chairs-off-the-record-deals-sim/ https://blog.weisspc.com/musical-administrator-chairs-off-the-record-deals-sim/#respond Tue, 09 Aug 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27729 Ride along with Mark as he discusses the necessity of getting the entire deal in writing.

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]]> https://blog.weisspc.com/musical-administrator-chairs-off-the-record-deals-sim/feed/ 0 27729 Allegations Punch ENT in the Nose. He Sinuses Off on Multi-Million Dollar Settlement. – Medical Group Minute https://blog.weisspc.com/ent-billing-settlement-compliance-risk-video/ https://blog.weisspc.com/ent-billing-settlement-compliance-risk-video/#respond Wed, 27 Jul 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27629 Another day, another $4.2 million...

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]]> https://blog.weisspc.com/ent-billing-settlement-compliance-risk-video/feed/ 0 27629 OIG Releases Special Fraud Alert on Telemedicine Arrangements https://blog.weisspc.com/oig-releases-special-fraud-alert-on-telemedicine-arrangements/ https://blog.weisspc.com/oig-releases-special-fraud-alert-on-telemedicine-arrangements/#respond Mon, 25 Jul 2022 15:11:55 +0000 https://blog.weisspc.com/?p=27898 With lots of money at play, it’s not hard to see why the government is motivated to investigate and prosecute in order to obtain huge fines and the benefit of the forfeiture millions of dollars.

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]]> https://blog.weisspc.com/oig-releases-special-fraud-alert-on-telemedicine-arrangements/feed/ 0 27898 What You Need to Know About a Healthcare CEO Headed to Prison in Order to Avoid the Same Fate. – Medical Group Minute https://blog.weisspc.com/healthcare-ceo-headed-to-prison-avoid-the-same-fate-video/ https://blog.weisspc.com/healthcare-ceo-headed-to-prison-avoid-the-same-fate-video/#respond Wed, 06 Jul 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27619 To paraphrase William Shakespeare, a rose by any other name might just be fraud.

The post What You Need to Know About a Healthcare CEO Headed to Prison in Order to Avoid the Same Fate. – Medical Group Minute appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/healthcare-ceo-headed-to-prison-avoid-the-same-fate-video/feed/ 0 27619 Hospital-Based Services, Not Hot Dogs – Medical Group Minute https://blog.weisspc.com/hospital-based-services-not-hot-dogs-video/ Wed, 15 Jun 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27750 If you’re selling medical services but collecting only peanuts (or even hot dogs) let me know.  You need a better agent.

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]]> 27750 Allegations Punch ENT in the Nose. He Sinuses Off on Multi-Million Dollar Settlement. – Podcast https://blog.weisspc.com/ent-billing-settlement-compliance-risk-audio/ https://blog.weisspc.com/ent-billing-settlement-compliance-risk-audio/#respond Thu, 09 Jun 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27640 Another day, another $4.2 million...

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]]> https://blog.weisspc.com/ent-billing-settlement-compliance-risk-audio/feed/ 0 27640 Lab Made Kickbacks? Allegations Lead to 10 Indictments. How Not to be Number 11. – Medical Group Minute https://blog.weisspc.com/lab-kickback-scheme-indictment-video/ https://blog.weisspc.com/lab-kickback-scheme-indictment-video/#respond Wed, 08 Jun 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27484 Lab made meat. Lab made leather. Both appeared in the news this week.

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]]> https://blog.weisspc.com/lab-kickback-scheme-indictment-video/feed/ 0 27484 Yet Another Physician Guilty of Receiving Insys/Subsys Kickbacks https://blog.weisspc.com/insys-subsys-physician-kickback-conviction/ https://blog.weisspc.com/insys-subsys-physician-kickback-conviction/#respond Mon, 06 Jun 2022 16:43:38 +0000 https://blog.weisspc.com/?p=27731 In general terms, the federal Anti-Kickback Statute (“AKS”) prohibits the offer, demand, payment, and acceptance of remuneration—that is, of anything of value—for referrals.

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]]> https://blog.weisspc.com/insys-subsys-physician-kickback-conviction/feed/ 0 27731 What You Need to Know About a Healthcare CEO Headed to Prison in Order to Avoid the Same Fate. – Podcast https://blog.weisspc.com/healthcare-ceo-headed-to-prison-avoid-the-same-fate-audio/ https://blog.weisspc.com/healthcare-ceo-headed-to-prison-avoid-the-same-fate-audio/#respond Thu, 02 Jun 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27638 To paraphrase William Shakespeare, a rose by any other name might just be fraud.

The post What You Need to Know About a Healthcare CEO Headed to Prison in Order to Avoid the Same Fate. – Podcast appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/healthcare-ceo-headed-to-prison-avoid-the-same-fate-audio/feed/ 0 27638 A Naive Anti-Kickback Question Answered – Medical Group Minute https://blog.weisspc.com/naive-anti-kickback-question-answered-video/ https://blog.weisspc.com/naive-anti-kickback-question-answered-video/#respond Wed, 11 May 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27654 There’s an expression in carpentry, “measure twice, cut once.”

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]]> https://blog.weisspc.com/naive-anti-kickback-question-answered-video/feed/ 0 27654 FMV is no More Anti-Kickback Compliance than Ground Pepper is Pot Roast https://blog.weisspc.com/fmv-anti-kickback-compliance-myth/ https://blog.weisspc.com/fmv-anti-kickback-compliance-myth/#respond Mon, 09 May 2022 15:23:24 +0000 https://blog.weisspc.com/?p=27644 Structuring a payment or a transaction such that the deal is at fair market value is not the be-all and end-all of AKS compliance.

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]]> https://blog.weisspc.com/fmv-anti-kickback-compliance-myth/feed/ 0 27644 Refill on Compound Drugs: Miracle Cure or Kickback Lure? – Medical Group Minute https://blog.weisspc.com/compound-drug-kickback-scheme-video/ https://blog.weisspc.com/compound-drug-kickback-scheme-video/#respond Wed, 04 May 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27480 It’s the middle ground between light and shadow, between medical science and stupidity...

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]]> https://blog.weisspc.com/compound-drug-kickback-scheme-video/feed/ 0 27480 Lab Made Kickbacks? Allegations Lead to 10 Indictments. How Not to be Number 11. – Podcast https://blog.weisspc.com/lab-kickback-scheme-indictment-audio/ https://blog.weisspc.com/lab-kickback-scheme-indictment-audio/#respond Thu, 21 Apr 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27531 Lab made meat. Lab made leather. Both appeared in the news this week.

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]]> https://blog.weisspc.com/lab-kickback-scheme-indictment-audio/feed/ 0 27531 Refill on Compound Drugs: Miracle Cure or Kickback Lure? – Podcast https://blog.weisspc.com/compound-drug-kickback-scheme-audio/ https://blog.weisspc.com/compound-drug-kickback-scheme-audio/#respond Thu, 14 Apr 2022 11:00:00 +0000 https://blog.weisspc.com/?p=27528 It’s the middle ground between light and shadow, between medical science and stupidity...

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]]> https://blog.weisspc.com/compound-drug-kickback-scheme-audio/feed/ 0 27528 Refill on Compound Drugs: Miracle Cure or Kickback Lure? https://blog.weisspc.com/compound-drug-kickback-scheme/ https://blog.weisspc.com/compound-drug-kickback-scheme/#respond Mon, 21 Feb 2022 18:46:00 +0000 https://blog.weisspc.com/?p=27386 Explore how physicians were accused in a high-stakes compound drug kickback scheme involving fake prescriptions and over $860K in illicit payments.

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]]> https://blog.weisspc.com/compound-drug-kickback-scheme/feed/ 0 27386 Lab Made Kickbacks? Allegations Lead to 10 Indictments. How Not to be Number 11. https://blog.weisspc.com/lab-kickback-scheme-indictment/ https://blog.weisspc.com/lab-kickback-scheme-indictment/#respond Mon, 14 Feb 2022 17:11:57 +0000 https://blog.weisspc.com/?p=27367 Lab made meat. Lab made leather. Both appeared in the news this week.

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]]> https://blog.weisspc.com/lab-kickback-scheme-indictment/feed/ 0 27367 What You Need to Know About a Healthcare CEO Headed to Prison in Order to Avoid the Same Fate. https://blog.weisspc.com/healthcare-ceo-headed-to-prison-avoid-the-same-fate/ https://blog.weisspc.com/healthcare-ceo-headed-to-prison-avoid-the-same-fate/#respond Mon, 07 Feb 2022 18:35:59 +0000 https://blog.weisspc.com/?p=27358 To paraphrase William Shakespeare, a rose by any other name might just be fraud.

The post What You Need to Know About a Healthcare CEO Headed to Prison in Order to Avoid the Same Fate. appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/healthcare-ceo-headed-to-prison-avoid-the-same-fate/feed/ 0 27358 Allegations Punch ENT in the Nose. He Sinuses Off on Multi-Million Dollar Settlement. https://blog.weisspc.com/ent-billing-settlement-compliance-risk/ https://blog.weisspc.com/ent-billing-settlement-compliance-risk/#respond Mon, 13 Dec 2021 16:59:15 +0000 https://blog.weisspc.com/?p=27208 Another day, another $4.2 million...

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]]> https://blog.weisspc.com/ent-billing-settlement-compliance-risk/feed/ 0 27208 Anesthesiologists, ASCs, Referring Physicians, and Alleged Kickbacks Fuel $28 Million Settlement https://blog.weisspc.com/anesthesiologists-ascs-referring-physicians-and-alleged-kickbacks-fuel-28-million-settlement/ https://blog.weisspc.com/anesthesiologists-ascs-referring-physicians-and-alleged-kickbacks-fuel-28-million-settlement/#respond Mon, 15 Nov 2021 17:11:53 +0000 https://blog.weisspc.com/?p=27124 Remember, that in cases of this sort, which are civil, not criminal, settlements resolve allegations, do not involve any admission of culpability or guilt...

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]]> https://blog.weisspc.com/anesthesiologists-ascs-referring-physicians-and-alleged-kickbacks-fuel-28-million-settlement/feed/ 0 27124 Cleveland Clinic Unit Pays $21.25 Million to Resolve Kickback Case – Medical Group Minute https://blog.weisspc.com/cleveland-clinic-kickback-settlement-21m-video/ https://blog.weisspc.com/cleveland-clinic-kickback-settlement-21m-video/#respond Wed, 27 Oct 2021 11:00:00 +0000 https://blog.weisspc.com/?p=26029 As always in these types of cases, which are civil actions, the settlement does not involve any admission that the allegations were true.

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]]> https://blog.weisspc.com/cleveland-clinic-kickback-settlement-21m-video/feed/ 0 26029 Cleveland Clinic Unit Pays $21.25 Million to Resolve Kickback Case – Podcast https://blog.weisspc.com/cleveland-clinic-kickback-settlement-21m-audio/ https://blog.weisspc.com/cleveland-clinic-kickback-settlement-21m-audio/#respond Thu, 14 Oct 2021 11:00:00 +0000 https://blog.weisspc.com/?p=26094 As always in these types of cases, which are civil actions, the settlement does not involve any admission that the allegations were true.

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]]> https://blog.weisspc.com/cleveland-clinic-kickback-settlement-21m-audio/feed/ 0 26094 Felonious Forest Park Physicians Freighted Off To Federal Prison – Podcast https://blog.weisspc.com/physician-kickback-risks-healthcare-deals-audio/ https://blog.weisspc.com/physician-kickback-risks-healthcare-deals-audio/#respond Thu, 09 Sep 2021 11:00:00 +0000 https://blog.weisspc.com/?p=24677 One thing is for certain, it will be no more walk in the park for the seven defendants convicted for their roles in a bribe and kickback scheme related to referring patients to Forest Park Hospital, a now defunct chain of Texas facilities.

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]]> https://blog.weisspc.com/physician-kickback-risks-healthcare-deals-audio/feed/ 0 24677 A Legal Alternative to Illegal Kickbacks to Physicians – Medical Group Minute https://blog.weisspc.com/legal-alternative-illegal-kickbacks-physicians-video/ https://blog.weisspc.com/legal-alternative-illegal-kickbacks-physicians-video/#respond Wed, 01 Sep 2021 11:00:00 +0000 https://blog.weisspc.com/?p=25602 You can see why it’s so tempting for unscrupulous hospital CEOs to offer kickbacks to physicians.

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]]> https://blog.weisspc.com/legal-alternative-illegal-kickbacks-physicians-video/feed/ 0 25602 Felonious Forest Park Physicians Freighted off to Federal Prison – Medical Group Minute https://blog.weisspc.com/physician-kickback-risks-healthcare-deals-video/ https://blog.weisspc.com/physician-kickback-risks-healthcare-deals-video/#respond Wed, 14 Jul 2021 11:00:00 +0000 https://blog.weisspc.com/?p=24644 One thing is for certain, it will be no more walk in the park for the seven defendants convicted for their roles in a bribe and kickback scheme related to referring patients to Forest Park Hospital, a now defunct chain of Texas facilities.

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]]> https://blog.weisspc.com/physician-kickback-risks-healthcare-deals-video/feed/ 0 24644 Cleveland Clinic Unit Pays $21.25 Million to Resolve Kickback Case https://blog.weisspc.com/cleveland-clinic-kickback-settlement-21m/ https://blog.weisspc.com/cleveland-clinic-kickback-settlement-21m/#respond Mon, 12 Jul 2021 15:47:57 +0000 https://blog.weisspc.com/?p=24689 As always in these types of cases, which are civil actions, the settlement does not involve any admission that the allegations were true.

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]]> https://blog.weisspc.com/cleveland-clinic-kickback-settlement-21m/feed/ 0 24689 Surgeon and Controlled Companies Pay $4.5 Million Settlement Months After Medtronic Pays $9.21 Million Tip (Settlement) For Meals at the Surgeon’s Restaurant – Podcast https://blog.weisspc.com/surgeon-and-controlled-companies-pay-4-5-million-settlement-audio/ https://blog.weisspc.com/surgeon-and-controlled-companies-pay-4-5-million-settlement-audio/#respond Thu, 01 Jul 2021 11:00:00 +0000 https://blog.weisspc.com/?p=24515 Well, the story as told by the Government is a familiar one: They allege that the events were payments to benefit Dr. Asfora and induce him to use Medtronic’s SynchroMed II intrathecal infusion pumps.

The post Surgeon and Controlled Companies Pay $4.5 Million Settlement Months After Medtronic Pays $9.21 Million Tip (Settlement) For Meals at the Surgeon’s Restaurant – Podcast appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/surgeon-and-controlled-companies-pay-4-5-million-settlement-audio/feed/ 0 24515 Surgeon and Controlled Companies Pay $4.5 Million Settlement Months After Medtronic Pays $9.21 Million Tip (Settlement) For Meals at the Surgeon’s Restaurant https://blog.weisspc.com/surgeon-and-controlled-companies-pay-4-5-million-settlement/ https://blog.weisspc.com/surgeon-and-controlled-companies-pay-4-5-million-settlement/#respond Mon, 10 May 2021 15:53:03 +0000 https://blog.weisspc.com/?p=24429 Well, the story as told by the Government is a familiar one: They allege that the events were payments to benefit Dr. Asfora and induce him to use Medtronic’s SynchroMed II intrathecal infusion pumps.

The post Surgeon and Controlled Companies Pay $4.5 Million Settlement Months After Medtronic Pays $9.21 Million Tip (Settlement) For Meals at the Surgeon’s Restaurant appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/surgeon-and-controlled-companies-pay-4-5-million-settlement/feed/ 0 24429 The Other Final Four: Hospital Executives Sentenced to Prison https://blog.weisspc.com/hospital-executive-sentencing/ https://blog.weisspc.com/hospital-executive-sentencing/#respond Mon, 26 Apr 2021 16:28:32 +0000 https://blog.weisspc.com/?p=24358 In my experience, most kickback schemes are not as brazen as this. They involve fewer numbers of people and, sometimes, behavior that is more easily rationalized by the participants as “sort of legal”.

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]]> https://blog.weisspc.com/hospital-executive-sentencing/feed/ 0 24358 Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Podcast https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-audio/ https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-audio/#respond Thu, 15 Apr 2021 11:00:00 +0000 https://blog.weisspc.com/?p=23996 In a move reminiscent of prohibition-era crime fighter Eliot Ness, the U.S. Department of Justice recently announced a coordinated enforcement action against 345 alleged healthcare criminals...

The post Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Podcast appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-audio/feed/ 0 23996 Felonious Forest Park Physicians Freighted Off To Federal Prison https://blog.weisspc.com/physician-kickback-risks-healthcare-deals/ https://blog.weisspc.com/physician-kickback-risks-healthcare-deals/#respond Mon, 22 Mar 2021 11:00:00 +0000 https://blog.weisspc.com/?p=24121 One thing is for certain, it will be no more walk in the park for the seven defendants convicted for their roles in a bribe and kickback scheme related to referring patients to Forest Park Hospital, a now defunct chain of Texas facilities.

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]]> https://blog.weisspc.com/physician-kickback-risks-healthcare-deals/feed/ 0 24121 Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Medical Group Minute https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-video/ https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-video/#respond Wed, 17 Mar 2021 11:00:00 +0000 https://blog.weisspc.com/?p=23998 In a move reminiscent of prohibition-era crime fighter Eliot Ness, the U.S. Department of Justice recently announced a coordinated enforcement action against 345 alleged healthcare criminals, including over 100 physicians and other licensed (for now) healthcare professionals, in 51 judicial districts.

The post Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Medical Group Minute appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud-video/feed/ 0 23998 Two Frauds Aren’t Better Than One: Second of the NextHealth & Forest Park Fraud Twins Sentenced – Podcast https://blog.weisspc.com/second-of-nexthealth-forest-park-fraud-twins-sentenced-audio/ https://blog.weisspc.com/second-of-nexthealth-forest-park-fraud-twins-sentenced-audio/#respond Thu, 14 Jan 2021 12:00:00 +0000 https://blog.weisspc.com/?p=19459 Double your felony,
Double your sums.
Oops we got caught,
Now we're jailhouse bums.

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]]> https://blog.weisspc.com/second-of-nexthealth-forest-park-fraud-twins-sentenced-audio/feed/ 0 19459 Medtronic Pays $9.21 Million Tip (Settlement) For Meals at Surgeon’s Restaurant https://blog.weisspc.com/medtronic-pays-9-21-million-tip-settlement-for-meals-at-surgeons-restaurant/ https://blog.weisspc.com/medtronic-pays-9-21-million-tip-settlement-for-meals-at-surgeons-restaurant/#respond Mon, 16 Nov 2020 14:00:00 +0000 https://blog.weisspc.com/?p=19645 Over a nine-year period, Medtronic USA Inc., the mega-sized Minnesota-based medical device manufacturer, paid for over 100 events held at a Sioux Falls, South Dakota restaurant.

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]]> https://blog.weisspc.com/medtronic-pays-9-21-million-tip-settlement-for-meals-at-surgeons-restaurant/feed/ 0 19645 Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud/ https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud/#respond Mon, 12 Oct 2020 13:00:00 +0000 https://blog.weisspc.com/?p=19536 In a move reminiscent of prohibition era crime fighter Eliot Ness, the U.S. Department of Justice recently announced a coordinated enforcement action against 345 alleged healthcare criminals, including over 100 physicians and other licensed (for now) healthcare professionals, in 51 judicial districts.

The post Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/345-defendants-in-nations-largest-opioid-fueled-healthcare-fraud/feed/ 0 19536 Doctor Exclaims, “I Wasn’t The Target, So Why Are They Gunning For Me?” – Podcast https://blog.weisspc.com/kickback-liability-physicians-audio/ https://blog.weisspc.com/kickback-liability-physicians-audio/#respond Thu, 20 Aug 2020 11:00:00 +0000 https://blog.weisspc.com/?p=18866 As I always say, think like a carpenter and measure twice (or even thrice), vetting each deal carefully with healthcare counsel, before cutting once, cutting your own neck, that is.

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]]> https://blog.weisspc.com/kickback-liability-physicians-audio/feed/ 0 18866 Free Stay Out of Jail Pass – Podcast https://blog.weisspc.com/free-stay-out-of-jail-pass-audio/ https://blog.weisspc.com/free-stay-out-of-jail-pass-audio/#respond Thu, 13 Aug 2020 11:00:00 +0000 https://blog.weisspc.com/?p=18864 Remind yourself that, as you watch this today and three weeks from today when you remember to pull out your get out of jail free card, that physicians like you are sitting in their cells today and that you don’t want to join them.

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]]> https://blog.weisspc.com/free-stay-out-of-jail-pass-audio/feed/ 0 18864 Doc Daughter Settles Civilly, Parents Aren’t So Lucky – Success in Motion https://blog.weisspc.com/doc-daughter-settles-civilly-parents-arent-so-lucky-sim/ https://blog.weisspc.com/doc-daughter-settles-civilly-parents-arent-so-lucky-sim/#respond Tue, 04 Aug 2020 11:00:00 +0000 https://blog.weisspc.com/?p=19044 Ride along with Mark as he discusses a kickback case involving a doctor daughter and indicted parents.

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]]> https://blog.weisspc.com/doc-daughter-settles-civilly-parents-arent-so-lucky-sim/feed/ 0 19044 Tenet UPSI Entities, Medical Group, and Surgeons to Pay $72.3 Million to Settle FCA Suit Involving Company Model of Anesthesia Services https://blog.weisspc.com/tenet-upsi-entities-medical-group-and-surgeons-to-pay-72-3-million-to-settle-fca-suit-involving-company-model-of-anesthesia-services/ https://blog.weisspc.com/tenet-upsi-entities-medical-group-and-surgeons-to-pay-72-3-million-to-settle-fca-suit-involving-company-model-of-anesthesia-services/#respond Mon, 13 Jul 2020 13:00:00 +0000 https://blog.weisspc.com/?p=19022 Collectively the Tenet controlled entities will pay $60.86 million to the United States, $5 million to the State of Oklahoma, and $206,000 to the State of Texas.

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]]> https://blog.weisspc.com/tenet-upsi-entities-medical-group-and-surgeons-to-pay-72-3-million-to-settle-fca-suit-involving-company-model-of-anesthesia-services/feed/ 0 19022 Four Doctors, $150 Million, and 6.6 Million Doses of Opioids. What Could Go Wrong? – Podcast https://blog.weisspc.com/four-doctors-6-million-doses-of-opioids-audio/ https://blog.weisspc.com/four-doctors-6-million-doses-of-opioids-audio/#respond Thu, 18 Jun 2020 11:00:00 +0000 https://blog.weisspc.com/?p=18067 Depending on inflection, the term “criminal lawyer” can mean one of two things. “Criminal doctor” has only one meaning. These four criminal doctors are scheduled to be sentenced in July.

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]]> https://blog.weisspc.com/four-doctors-6-million-doses-of-opioids-audio/feed/ 0 18067 Free Stay Out of Jail Pass – Medical Group Minute https://blog.weisspc.com/free-stay-out-of-jail-pass-video/ https://blog.weisspc.com/free-stay-out-of-jail-pass-video/#respond Wed, 03 Jun 2020 11:00:00 +0000 https://blog.weisspc.com/?p=18841 Remind yourself that, as you watch this today and three weeks from today when you remember to pull out your get out of jail free card, that physicians like you are sitting in their cells today and that you don’t want to join them.

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]]> https://blog.weisspc.com/free-stay-out-of-jail-pass-video/feed/ 0 18841 Two Frauds Aren’t Better Than One: Second of the NextHealth & Forest Park Fraud Twins Sentenced https://blog.weisspc.com/second-of-nexthealth-forest-park-fraud-twins-sentenced/ https://blog.weisspc.com/second-of-nexthealth-forest-park-fraud-twins-sentenced/#respond Mon, 01 Jun 2020 13:00:00 +0000 https://blog.weisspc.com/?p=18829 Learn about the twin healthcare fraud schemes and federal prison sentences surrounding a recent prosecution in Texas.

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]]> https://blog.weisspc.com/second-of-nexthealth-forest-park-fraud-twins-sentenced/feed/ 0 18829 Doctor Exclaims, “I Wasn’t The Target, So Why Are They Gunning For Me?” – Medical Group Minute https://blog.weisspc.com/kickback-liability-physicians-video/ https://blog.weisspc.com/kickback-liability-physicians-video/#respond Wed, 27 May 2020 16:54:00 +0000 https://blog.weisspc.com/?p=18836 As I always say, think like a carpenter and measure twice (or even thrice), vetting each deal carefully with healthcare counsel, before cutting once, cutting your own neck, that is.

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]]> https://blog.weisspc.com/kickback-liability-physicians-video/feed/ 0 18836 Doctor Exclaims, “I Wasn’t The Target, So Why Are They Gunning For Me?” https://blog.weisspc.com/kickback-liability-physicians/ https://blog.weisspc.com/kickback-liability-physicians/#respond Mon, 04 May 2020 13:00:00 +0000 https://blog.weisspc.com/?p=18724 Perhaps the target wasn't Day-Glo orange, but the wound was life changing, if not life threatening.

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]]> https://blog.weisspc.com/kickback-liability-physicians/feed/ 0 18724 Four Doctors, $150 Million, and 6.6 Million Doses of Opioids. What Could Go Wrong? – Medical Group Minute https://blog.weisspc.com/four-doctors-6-million-doses-of-opioids-video/ https://blog.weisspc.com/four-doctors-6-million-doses-of-opioids-video/#respond Wed, 29 Apr 2020 11:00:00 +0000 https://blog.weisspc.com/?p=18061 Depending on inflection, the term “criminal lawyer” can mean one of two things. “Criminal doctor” has only one meaning. These four criminal doctors are scheduled to be sentenced in July.

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]]> https://blog.weisspc.com/four-doctors-6-million-doses-of-opioids-video/feed/ 0 18061 “Free With Purchase” May Sell Cosmetics, but “Free with Referral” Is a Bad Marketing Idea https://blog.weisspc.com/free-with-referral-false-claims-antikickback/ https://blog.weisspc.com/free-with-referral-false-claims-antikickback/#respond Mon, 20 Apr 2020 13:00:00 +0000 https://blog.weisspc.com/?p=18077 The coronavirus has closed their office doors, but the U.S. Department of Justice is still prosecuting healthcare crimes and extracting painful settlements.

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]]> https://blog.weisspc.com/free-with-referral-false-claims-antikickback/feed/ 0 18077 Sutter Health and Surgeons Settle Whistleblower’s Kickback Allegations for $31M – Success in Motion https://blog.weisspc.com/sutter-health-and-surgeons-settle-whistleblowers-kickback-allegations-for-31m-success-in-motion/ https://blog.weisspc.com/sutter-health-and-surgeons-settle-whistleblowers-kickback-allegations-for-31m-success-in-motion/#respond Tue, 14 Apr 2020 11:00:00 +0000 https://blog.weisspc.com/?p=15575 Ride along with Mark as he discusses the settlement by Sutter Health and a cardiac surgery group involving allegations that exclusive contracts, coverage stipends, and medical director fees were kickbacks to reward referrals. Avoid the same fate.

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]]> https://blog.weisspc.com/sutter-health-and-surgeons-settle-whistleblowers-kickback-allegations-for-31m-success-in-motion/feed/ 0 15575 Free Stay Out of Jail Pass https://blog.weisspc.com/free-stay-out-of-jail-pass/ https://blog.weisspc.com/free-stay-out-of-jail-pass/#respond Mon, 16 Mar 2020 13:00:00 +0000 https://blog.weisspc.com/?p=16538 Remind yourself that the federal Anti-Kickback Statute (“AKS”) prohibits offering, paying, soliciting, or receiving remuneration to induce referrals of items or services covered by Medicare, TRICARE, and other federally funded programs.

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]]> https://blog.weisspc.com/free-stay-out-of-jail-pass/feed/ 0 16538 Compound Drugs: Miracle Cure or Kickback Lure? – Medical Group Minute https://blog.weisspc.com/compounding-drug-kickback-risk-video/ https://blog.weisspc.com/compounding-drug-kickback-risk-video/#respond Wed, 11 Mar 2020 11:06:00 +0000 https://blog.weisspc.com/?p=15876 Compounded drugs are valid treatment. Prescribing them is legal. However, accepting (or paying) kickbacks to prescribe them is a crime.

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]]> https://blog.weisspc.com/compounding-drug-kickback-risk-video/feed/ 0 15876 Compound Drugs: Miracle Cure or Kickback Lure? – Podcast https://blog.weisspc.com/compounding-drug-kickback-risk-audio/ https://blog.weisspc.com/compounding-drug-kickback-risk-audio/#respond Thu, 20 Feb 2020 12:00:00 +0000 https://blog.weisspc.com/?p=15898 Compounded drugs are valid treatment. Prescribing them is legal. However, accepting (or paying) kickbacks to prescribe them is a crime.

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]]> https://blog.weisspc.com/compounding-drug-kickback-risk-audio/feed/ 0 15898 How to Convict Yourself of Violating the Anti-Kickback Statute https://blog.weisspc.com/how-to-convict-yourself-of-violating-the-anti-kickback-statute/ https://blog.weisspc.com/how-to-convict-yourself-of-violating-the-anti-kickback-statute/#respond Mon, 17 Feb 2020 14:00:00 +0000 https://blog.weisspc.com/?p=15865 Oh, what a tangled web we weave when first we practice to deceive!

I doubt that Sir Walter Scott was envisioning the future of American healthcare when he wrote those lines in his epic poem Marmion.

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]]> https://blog.weisspc.com/how-to-convict-yourself-of-violating-the-anti-kickback-statute/feed/ 0 15865 Four Doctors, $150 Million, and 6.6 Million Doses of Opioids. What Could Go Wrong? https://blog.weisspc.com/four-doctors-6-million-doses-of-opioids/ https://blog.weisspc.com/four-doctors-6-million-doses-of-opioids/#respond Mon, 10 Feb 2020 14:00:00 +0000 https://blog.weisspc.com/?p=15829 You’d have to be high to think you could get away with it.

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]]> https://blog.weisspc.com/four-doctors-6-million-doses-of-opioids/feed/ 0 15829 Compound Drugs: Miracle Cure or Kickback Lure? https://blog.weisspc.com/compounding-drug-kickback-risk/ https://blog.weisspc.com/compounding-drug-kickback-risk/#respond Mon, 13 Jan 2020 14:00:00 +0000 https://blog.weisspc.com/?p=15686 It’s the middle ground between light and shadow, between medical science and stupidity, and it lies between the pit of man's desires and the summit of his bank account. This is the dimension of disintegration. It’s an area which we call the Indictment Zone.

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]]> https://blog.weisspc.com/compounding-drug-kickback-risk/feed/ 0 15686 Anesthesia Company Model Arrangement Fuels $1.718 Million Dollar FCA Settlement by a Surgeon and a Separate Guilty Plea by Another Doctor Defendant – Medical Group Minute https://blog.weisspc.com/anesthesia-company-model-fca-settlement-video/ https://blog.weisspc.com/anesthesia-company-model-fca-settlement-video/#respond Wed, 04 Dec 2019 12:00:00 +0000 https://blog.weisspc.com/?p=15593 In a recent set of go-rounds with the Department of Justice, the so-called company model of anesthesia services took a major hit: Jonathan Daitch, M.D., just agreed to a $1.718 million civil settlement and Michael Frey, M.D., plead guilty in a criminal prosecution.

The post Anesthesia Company Model Arrangement Fuels $1.718 Million Dollar FCA Settlement by a Surgeon and a Separate Guilty Plea by Another Doctor Defendant – Medical Group Minute appeared first on Wisdom. Applied..

]]> https://blog.weisspc.com/anesthesia-company-model-fca-settlement-video/feed/ 0 15593 380 Individuals Charged in Massive Fake Cancer Screening Manhunt https://blog.weisspc.com/380-individuals-charged-in-massive-fake-cancer-screening/ https://blog.weisspc.com/380-individuals-charged-in-massive-fake-cancer-screening/#respond Mon, 21 Oct 2019 13:00:13 +0000 https://blog.weisspc.com/?p=11058 Telemedicine is the future.

Fraudulent telemedicine is apparently already here.

Is anyone actually shocked?

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]]> https://blog.weisspc.com/380-individuals-charged-in-massive-fake-cancer-screening/feed/ 0 11058 No More Walk in the Park for Convicted Forest Park Defendants – Medical Group Minute https://blog.weisspc.com/forest-park-kickback-scheme-lesson-video/ https://blog.weisspc.com/forest-park-kickback-scheme-lesson-video/#respond Wed, 21 Aug 2019 15:32:05 +0000 https://blog.weisspc.com/?p=10966 One thing’s for certain, it will be no more walk in the park for the seven defendants convicted for their roles in a bribe and kickback scheme.

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]]> https://blog.weisspc.com/forest-park-kickback-scheme-lesson-video/feed/ 0 10966 No More Walk in the Park for Convicted Forest Park Defendants – Podcast https://blog.weisspc.com/forest-park-kickback-scheme-lesson-audio/ https://blog.weisspc.com/forest-park-kickback-scheme-lesson-audio/#respond Thu, 06 Jun 2019 15:17:33 +0000 https://blog.weisspc.com/?p=10870 One thing’s for certain, it will be no more walk in the park for the seven defendants convicted for their roles in a bribe and kickback scheme.

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]]> https://blog.weisspc.com/forest-park-kickback-scheme-lesson-audio/feed/ 0 10870 Listen in to a Kickback Conversation – Podcast https://blog.weisspc.com/listen-in-to-a-kickback-conversation-podcast/ https://blog.weisspc.com/listen-in-to-a-kickback-conversation-podcast/#respond Thu, 30 May 2019 19:33:10 +0000 https://blog.weisspc.com/?p=10770 Depending on the circumstances, there might be ways to legally structure deal participation on the part of referring physicians.

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]]> https://blog.weisspc.com/listen-in-to-a-kickback-conversation-podcast/feed/ 0 10770 No More Walk in the Park for Convicted Forest Park Defendants https://blog.weisspc.com/forest-park-kickback-scheme-lesson/ https://blog.weisspc.com/forest-park-kickback-scheme-lesson/#respond Mon, 15 Apr 2019 17:31:39 +0000 https://blog.weisspc.com/?p=10666 Forest Park was a Texas chain of beautifully constructed hospitals. Operative word: was. Beneath the veneer of great architecture and beautiful interior design was, so federal prosecutors alleged, a decrepit scheme involving questionable marketing agreements and multiple types of fake arrangements from “consulting contracts” to “leases” and even fake companies. The alleged aim? Referrals of...

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]]> https://blog.weisspc.com/forest-park-kickback-scheme-lesson/feed/ 0 10666 Anesthesia Company Model Arrangement Fuels $1.718 Million Dollar FCA Settlement by a Surgeon and a Separate Guilty Plea by Another Doctor Defendant – Podcast https://blog.weisspc.com/anesthesia-company-model-fca-settlement-audio/ https://blog.weisspc.com/anesthesia-company-model-fca-settlement-audio/#respond Thu, 07 Mar 2019 12:00:46 +0000 https://blog.weisspc.com/?p=10556 In a recent set of go-rounds with the Department of Justice, the so-called company model of anesthesia services took a major hit.

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]]> https://blog.weisspc.com/anesthesia-company-model-fca-settlement-audio/feed/ 0 10556 Former Tenet Healthcare Executives Facing Criminal Trial for Kickbacks. – Medical Group Minute https://blog.weisspc.com/former-tenet-executives-facing-criminal-trial-video/ https://blog.weisspc.com/former-tenet-executives-facing-criminal-trial-video/#respond Wed, 16 Jan 2019 17:30:45 +0000 https://blog.weisspc.com/?p=10456 Former Tenet Healthcare hospital CEOs, are facing trial in a criminal case that alleges that they personally violated the federal Anti-Kickback Statute.

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]]> https://blog.weisspc.com/former-tenet-executives-facing-criminal-trial-video/feed/ 0 10456 Anesthesia Company Model Arrangement Fuels $1.718 Million Dollar FCA Settlement by a Surgeon and a Separate Guilty Plea by Another Doctor Defendant https://blog.weisspc.com/anesthesia-company-model-fca-settlement/ https://blog.weisspc.com/anesthesia-company-model-fca-settlement/#respond Mon, 24 Dec 2018 16:00:45 +0000 https://blog.weisspc.com/?p=10238 In a recent set of go-rounds with the Department of Justice, the so-called company model of anesthesia services took a major hit: One alleged co-conspirator, Jonathan Daitch, M.D., just agreed to a $1.718 million civil settlement and another, Michael Frey, M.D., plead guilty in a criminal prosecution.

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]]> https://blog.weisspc.com/anesthesia-company-model-fca-settlement/feed/ 0 10238 No Matter How Hard They Tri[Care], Another Compounded Medicine Scam Creams Out https://blog.weisspc.com/no-matter-how-hard-they-tricare-another-compounded-medicine-scam-creams-out/ https://blog.weisspc.com/no-matter-how-hard-they-tricare-another-compounded-medicine-scam-creams-out/#respond Mon, 10 Dec 2018 16:00:52 +0000 https://blog.weisspc.com/?p=10202 There are many legitimate ways for physicians to increase their practice income. They include, depending on state law, investments in compounding pharmacies and the direct dispensing of pharmaceuticals.

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]]> https://blog.weisspc.com/no-matter-how-hard-they-tricare-another-compounded-medicine-scam-creams-out/feed/ 0 10202 Record Bust: 601 Defendants, Including 165 Doctors, Nurses and Other Licensees Charged With Over $2 Billion in Fraud – Medical Group Minute https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants-video/ https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants-video/#respond Wed, 05 Dec 2018 17:30:03 +0000 https://blog.weisspc.com/?p=10188 DOJ and HHS announced the largest ever health care fraud enforcement action. It resulted in charges against 601 defendants across 58 federal districts, including 165 doctors, nurses and other licensed medical professionals.

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]]> https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants-video/feed/ 0 10188 Breaking News: Former Tenet Hospital Executives Facing Criminal Trial for Kickbacks https://blog.weisspc.com/breaking-news-former-tenet-hospital-executives-facing-criminal-trial-for-kickbacks/ https://blog.weisspc.com/breaking-news-former-tenet-hospital-executives-facing-criminal-trial-for-kickbacks/#respond Mon, 03 Dec 2018 16:00:39 +0000 https://blog.weisspc.com/?p=10200 As you may recall, back in April, 2018, in my post What’s The Downside Risk for Hospital Executives?, I wrote about the fact that Trevor Fetter, the former CEO of Tenet Healthcare, had no skin in the game: his strategy put the company into a nosedive. It lost hundreds of millions. But upon being pushed...

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]]> https://blog.weisspc.com/breaking-news-former-tenet-hospital-executives-facing-criminal-trial-for-kickbacks/feed/ 0 10200 Hospital Chain Paying More Than a Quarter BILLION Dollars to Resolve False Billing and Kickback Allegations https://blog.weisspc.com/hospital-chain-paying-more-than-a-quarter-billion-dollars-to-resolve-false-billing-and-kickback-allegations/ https://blog.weisspc.com/hospital-chain-paying-more-than-a-quarter-billion-dollars-to-resolve-false-billing-and-kickback-allegations/#respond Mon, 01 Oct 2018 14:52:56 +0000 https://blog.weisspc.com/?p=9989 HMA will pay over $260 million to resolve fraud claims involving unnecessary admissions, kickbacks and inflated ER fees.

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]]> https://blog.weisspc.com/hospital-chain-paying-more-than-a-quarter-billion-dollars-to-resolve-false-billing-and-kickback-allegations/feed/ 0 9989 A Naive Anti-Kickback Question Answered – Podcast https://blog.weisspc.com/naive-anti-kickback-question-answered-audio/ https://blog.weisspc.com/naive-anti-kickback-question-answered-audio/#respond Thu, 13 Sep 2018 16:00:38 +0000 https://blog.weisspc.com/?p=9939 There’s an expression in carpentry, “measure twice, cut once.” We should have the same expression in terms of healthcare deals...

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]]> https://blog.weisspc.com/naive-anti-kickback-question-answered-audio/feed/ 0 9939 Putting a Limit on Your Obligation to Indemnify – Medical Group Minute https://blog.weisspc.com/putting-limit-obligation-indemnify-video/ https://blog.weisspc.com/putting-limit-obligation-indemnify-video/#respond Wed, 05 Sep 2018 16:00:02 +0000 https://blog.weisspc.com/?p=9926 You might skip over indemnification provisions when negotiating a contract. You understand what they are. Or do you?

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]]> https://blog.weisspc.com/putting-limit-obligation-indemnify-video/feed/ 0 9926 Allegations of Underpaid Debt Lands Big Healthcare Players in Whistleblower Hell https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness/ https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness/#respond Mon, 20 Aug 2018 14:20:04 +0000 https://blog.weisspc.com/?p=9886 A whistleblower lawsuit accuses Roche and Humana of using debt write-offs as kickbacks to keep diabetes products on formularies.

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]]> https://blog.weisspc.com/kickbacks-healthcare-debt-forgiveness/feed/ 0 9886 Physician Behind Bars for Referrals: Kickbacks, Bribes, and Mail Fraud https://blog.weisspc.com/physician-kickback-mail-fraud-case/ https://blog.weisspc.com/physician-kickback-mail-fraud-case/#respond Mon, 09 Jul 2018 15:00:44 +0000 https://blog.weisspc.com/?p=9780 Every new, and every existing, financial relationship with anyone or any entity with which physicians and other healthcare providers do business must be vetted or re-vetted in light of today’s enforcement reality.

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]]> https://blog.weisspc.com/physician-kickback-mail-fraud-case/feed/ 0 9780 Record Bust: 601 Defendants, Including 165 Doctors, Nurses and Other Licensees Charged With Over $2 Billion in Fraud https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants/ https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants/#respond Mon, 02 Jul 2018 13:00:59 +0000 https://blog.weisspc.com/?p=9775 On Thursday, June 28th, the DOJ and HHS announced the largest ever health care fraud enforcement action.

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]]> https://blog.weisspc.com/large-scale-healthcare-fraud-601-defendants/feed/ 0 9775 Understanding Value on the Fly https://blog.weisspc.com/understanding-value-on-the-fly/ https://blog.weisspc.com/understanding-value-on-the-fly/#respond Mon, 30 Apr 2018 16:12:00 +0000 https://blog.weisspc.com/?p=9496 Each payor places a different value on your services.

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]]> https://blog.weisspc.com/understanding-value-on-the-fly/feed/ 0 9496 Kickback Disguise Schemes: Oh, What a Tangled Web We Weave – Podcast https://blog.weisspc.com/kickback-disguise-schemes-healthcare-audio/ https://blog.weisspc.com/kickback-disguise-schemes-healthcare-audio/#respond Thu, 05 Apr 2018 16:00:21 +0000 https://blog.weisspc.com/?p=9158 “Psst! Send me some referrals. I can’t pay you directly, so I’ll pay your spouse.”

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]]> https://blog.weisspc.com/kickback-disguise-schemes-healthcare-audio/feed/ 0 9158 Swerving Into the Kickback Lane – Success in Motion https://blog.weisspc.com/swerving-kickback-lane-sim/ https://blog.weisspc.com/swerving-kickback-lane-sim/#respond Tue, 23 Jan 2018 17:38:10 +0000 https://blog.weisspc.com/?p=8975 Kickback problems are like approaching traffic. Swerving to avoid them might lead you right into their path.

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]]> https://blog.weisspc.com/swerving-kickback-lane-sim/feed/ 0 8975 Drugs, Sentencing and Lock (and Roll) on to Another Kickback Prosecution – Podcast https://blog.weisspc.com/drugs-sentencing-lock-roll-another-kickback-prosecution-audio/ https://blog.weisspc.com/drugs-sentencing-lock-roll-another-kickback-prosecution-audio/#respond Thu, 18 Jan 2018 17:00:46 +0000 https://blog.weisspc.com/?p=8896 The federal Anti-Kickback statute makes it illegal to receive anything of value for the referral of federal health care program patients. How are you managing this potential pitfall?

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]]> https://blog.weisspc.com/drugs-sentencing-lock-roll-another-kickback-prosecution-audio/feed/ 0 8896 Another Physician Guilty of Receiving Insys/Subsys Kickbacks https://blog.weisspc.com/insys-subsys-kickback-physician-conviction/ https://blog.weisspc.com/insys-subsys-kickback-physician-conviction/#respond Mon, 30 Oct 2017 15:00:36 +0000 https://blog.weisspc.com/?p=8675 A physician is convicted in the Insys/Subsys kickback case, highlighting ongoing risks around pharma deals and compliance for medical group leaders.

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]]> https://blog.weisspc.com/insys-subsys-kickback-physician-conviction/feed/ 0 8675 Aetna Obtains $37+ Million Judgment Against ASC Manager – Medical Group Minute https://blog.weisspc.com/aetna-judgment-against-asc-manager-video/ https://blog.weisspc.com/aetna-judgment-against-asc-manager-video/#respond Wed, 27 Sep 2017 16:00:24 +0000 https://blog.weisspc.com/?p=8557 Earlier this year, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives.

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]]> https://blog.weisspc.com/aetna-judgment-against-asc-manager-video/feed/ 0 8557 Physicians Must Brand Their Role in Healthcare or Suffer the Consequences https://blog.weisspc.com/physician-branding-security-employment/ https://blog.weisspc.com/physician-branding-security-employment/#respond Mon, 07 Aug 2017 16:00:00 +0000 https://blog.weisspc.com/?p=928 Examine the challenges facing physician employment and the rise of paraprofessionals in the healthcare sector.

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]]> https://blog.weisspc.com/physician-branding-security-employment/feed/ 0 928 Putting a Limit on Your Obligation to Indemnify https://blog.weisspc.com/putting-limit-obligation-indemnify/ https://blog.weisspc.com/putting-limit-obligation-indemnify/#respond Mon, 17 Jul 2017 12:24:24 +0000 https://blog.weisspc.com/?p=8336 Learn why indemnify provisions are essential. They are not just boilerplate but crucial for enforcing agreements effectively.

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]]> https://blog.weisspc.com/putting-limit-obligation-indemnify/feed/ 0 8336 Greasy Kickback Residue is All That’s Left of Pain Cream Fraud – Medical Group Minute Series https://blog.weisspc.com/greasy-kickback-residue-thats-left-pain-cream-fraud-video/ https://blog.weisspc.com/greasy-kickback-residue-thats-left-pain-cream-fraud-video/#respond Wed, 05 Jul 2017 16:00:17 +0000 https://blog.weisspc.com/?p=8328 Understand the implications of the kickback allegations against pharmacy owners and doctors in this unfolding healthcare scandal.

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]]> https://blog.weisspc.com/greasy-kickback-residue-thats-left-pain-cream-fraud-video/feed/ 0 8328 21 Doctors, Plus Pharmacists and Practice Managers, Charged in $40 Million Kickback Scheme https://blog.weisspc.com/21-doctors-plus-pharmacists-practice-managers-charged/ https://blog.weisspc.com/21-doctors-plus-pharmacists-practice-managers-charged/#respond Mon, 01 May 2017 15:00:48 +0000 https://blog.weisspc.com/?p=8051 Last week, the California Insurance Commissioner and the Orange County District Attorney shut down a $40 million fraudulent medical billing and kickback operation by filing criminal charges against 21 doctors plus 5 others: pharmacists and purported “medical group management company” owners. Involved are Tanya Moreland King and her husband Christopher King, the owners of medical...

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]]> https://blog.weisspc.com/21-doctors-plus-pharmacists-practice-managers-charged/feed/ 0 8051 Pain Medicine Doctors Alleged to Have Received $115,000 in Kickbacks … Plus $40 Million in Illicit Profit https://blog.weisspc.com/pain-medicine-doctors-alleged-received-115000-kickbacks-plus-40-million-illicit-profit/ https://blog.weisspc.com/pain-medicine-doctors-alleged-received-115000-kickbacks-plus-40-million-illicit-profit/#respond Mon, 06 Feb 2017 17:28:29 +0000 https://blog.weisspc.com/?p=7802 Learn about the case of two pain medicine doctors accused of receiving $115,000 in kickbacks and generating $40 million in illicit profits through fraudulent practices.

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]]> https://blog.weisspc.com/pain-medicine-doctors-alleged-received-115000-kickbacks-plus-40-million-illicit-profit/feed/ 0 7802 Compounding the Kickback Problem – Podcast https://blog.weisspc.com/compounding-kickback-problem-audio/ https://blog.weisspc.com/compounding-kickback-problem-audio/#respond Thu, 12 Jan 2017 17:00:11 +0000 https://blog.weisspc.com/?p=7717 Compounding pharmaceuticals, specific drugs for specific patients, offers tremendous benefit. The problems arise when the benefit is for the prescribing physician. Then, we’re dealing with analyses under the federal Anti-Kickback Statute (AKS), the Stark Law, and their state law counterparts.

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]]> https://blog.weisspc.com/compounding-kickback-problem-audio/feed/ 0 7717 Opting Out to Opt-In for Yourself – Podcast https://blog.weisspc.com/opting-opt-audio/ https://blog.weisspc.com/opting-opt-audio/#respond Thu, 08 Dec 2016 17:00:10 +0000 https://blog.weisspc.com/?p=7622 I'm no enemy of fast food. I just don't want to eat it. I don't care if you do. I wouldn't make it illegal. But some mayors would.

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]]> https://blog.weisspc.com/opting-opt-audio/feed/ 0 7622 Greasy Kickback Residue Is All That’s Left of Pain Cream Fraud https://blog.weisspc.com/greasy-kickback-residue-thats-left-pain-cream-fraud/ https://blog.weisspc.com/greasy-kickback-residue-thats-left-pain-cream-fraud/#respond Mon, 24 Oct 2016 15:00:43 +0000 https://blog.weisspc.com/?p=7554 Understand the implications of the kickback allegations against pharmacy owners and doctors in this unfolding healthcare scandal.

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]]> https://blog.weisspc.com/greasy-kickback-residue-thats-left-pain-cream-fraud/feed/ 0 7554 Physician Talks Out of His (not)Mouth – Brags of Kickbacks – Podcast https://blog.weisspc.com/physician-brags-kickbacks-risk-audio/ https://blog.weisspc.com/physician-brags-kickbacks-risk-audio/#respond Thu, 20 Oct 2016 16:00:14 +0000 https://blog.weisspc.com/?p=7527 It was 9:00 p.m. The restaurant was clearing out. I was eating alone after returning to the hotel following a meeting.

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]]> https://blog.weisspc.com/physician-brags-kickbacks-risk-audio/feed/ 0 7527 A Naive Anti-Kickback Question Answered https://blog.weisspc.com/naive-anti-kickback-question-answered/ https://blog.weisspc.com/naive-anti-kickback-question-answered/#respond Mon, 17 Oct 2016 16:00:04 +0000 https://blog.weisspc.com/?p=7552 Learn why even naïve questions about kickbacks can trigger serious compliance risks and how to protect your medical group.

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]]> https://blog.weisspc.com/naive-anti-kickback-question-answered/feed/ 0 7552 Aetna Obtains $37 Million+ Judgment Against ASC Manager – Podcast https://blog.weisspc.com/aetna-judgment-against-asc-manager-audio/ https://blog.weisspc.com/aetna-judgment-against-asc-manager-audio/#respond Thu, 18 Aug 2016 16:00:22 +0000 https://blog.weisspc.com/?p=7294 Earlier this year, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives.

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]]> https://blog.weisspc.com/aetna-judgment-against-asc-manager-audio/feed/ 0 7294 A Naive Anti-Kickback Question Answered – Success in Motion https://blog.weisspc.com/naive-anti-kickback-question-sim/ https://blog.weisspc.com/naive-anti-kickback-question-sim/#respond Tue, 19 Apr 2016 16:00:47 +0000 https://blog.weisspc.com/?p=6959 The federal Anti-Kickback Statute is a criminal statute. The fact that someone exactly like you hasn’t (yet) gone to jail for violating it shouldn’t provide any comfort.

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]]> https://blog.weisspc.com/naive-anti-kickback-question-sim/feed/ 0 6959 Aetna Obtains $37-plus Million Judgment Against ASC Manager https://blog.weisspc.com/aetna-judgment-against-asc-manager/ https://blog.weisspc.com/aetna-judgment-against-asc-manager/#respond Mon, 18 Apr 2016 15:30:52 +0000 https://blog.weisspc.com/?p=7050 Aetna won a $37M+ judgment against an ASC manager, underscoring insurers’ tactics to secure network integrity and punish providers.

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]]> https://blog.weisspc.com/aetna-judgment-against-asc-manager/feed/ 0 7050 A Legal Alternative to Illegal Kickbacks to Physicians https://blog.weisspc.com/legal-alternative-illegal-kickbacks-physicians/ https://blog.weisspc.com/legal-alternative-illegal-kickbacks-physicians/#respond Mon, 18 Apr 2016 15:00:01 +0000 https://blog.weisspc.com/?p=7033 You can see why it’s so tempting for unscrupulous hospital CEOs to offer kickbacks to physicians.

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]]> https://blog.weisspc.com/legal-alternative-illegal-kickbacks-physicians/feed/ 0 7033 Provision of Staff, Payment of Expenses Leads to Federal Anti-Kickback Statute Violation https://blog.weisspc.com/staff-expenses-cause-kickback-violation/ https://blog.weisspc.com/staff-expenses-cause-kickback-violation/#respond Mon, 29 Feb 2016 16:00:03 +0000 https://blog.weisspc.com/?p=6865 Providing staff or covering expenses for referral sources can violate the AKS. Be cautious of disguised compensation arrangements.

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]]> https://blog.weisspc.com/staff-expenses-cause-kickback-violation/feed/ 0 6865 Pills, Capsules, and Kickbacks: Drug Manufacturer Pays $125 Million. Execs and Docs Headed to Jail – Podcast https://blog.weisspc.com/pharma-fraud-physician-liability-audio/ https://blog.weisspc.com/pharma-fraud-physician-liability-audio/#respond Thu, 17 Dec 2015 17:00:24 +0000 https://blog.weisspc.com/?p=6671 I know. In light of tons of illegal profits, complying with the federal anti-kickback law (“AKS") is a hard sell.

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]]> https://blog.weisspc.com/pharma-fraud-physician-liability-audio/feed/ 0 6671 Kickback Disguise Schemes: Oh, What a Tangled Web We Weave – Medical Group Minute https://blog.weisspc.com/kickback-disguise-schemes-healthcare-video/ https://blog.weisspc.com/kickback-disguise-schemes-healthcare-video/#respond Wed, 09 Dec 2015 19:33:19 +0000 https://blog.weisspc.com/?p=6606 “Psst! Send me some referrals. I can’t pay you directly, so I’ll pay your spouse.”

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]]> https://blog.weisspc.com/kickback-disguise-schemes-healthcare-video/feed/ 0 6606 Kickback Disguise Schemes: Oh, What a Tangled Web We Weave https://blog.weisspc.com/kickback-disguise-schemes-healthcare/ https://blog.weisspc.com/kickback-disguise-schemes-healthcare/#respond Mon, 08 Jun 2015 15:00:43 +0000 https://blog.weisspc.com/?p=6167 Attempting to hide healthcare kickbacks through third parties is a losing strategy. One case shows just how costly that mistake can be.

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]]> https://blog.weisspc.com/kickback-disguise-schemes-healthcare/feed/ 0 6167 Compounding the Kickback Problem https://blog.weisspc.com/compounding-the-kickback-problem/ https://blog.weisspc.com/compounding-the-kickback-problem/#respond Mon, 11 May 2015 15:00:21 +0000 https://blog.weisspc.com/?p=6087 Even if patients choose the provider, physicians can still trigger Anti‑Kickback Statute liability by acting as gatekeepers. A critical lesson from a recent case.

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]]> https://blog.weisspc.com/compounding-the-kickback-problem/feed/ 0 6087 An Antitrust Exemption for Physicians? https://blog.weisspc.com/antitrust-exemption-physicians/ https://blog.weisspc.com/antitrust-exemption-physicians/#respond Mon, 23 Mar 2015 15:00:26 +0000 https://blog.weisspc.com/?p=6017 Health insurers have an antitrust exemption in respect of coordinated gathering of data for ratemaking. The playing field isn’t particularly level. Physicians can’t share pricing information or collectively bargain for payment rates.

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]]> https://blog.weisspc.com/antitrust-exemption-physicians/feed/ 0 6017 Healthcare Executives in Prison – Podcast https://blog.weisspc.com/healthcare-executives-in-prison-audio/ https://blog.weisspc.com/healthcare-executives-in-prison-audio/#respond Thu, 23 Oct 2014 13:00:39 +0000 https://blog.weisspc.com/?p=5467 As hospitals gather more power courtesy of Obamacare, some are becoming more daring in terms of extracting cash from non-aligned physicians who don't control referrals.

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]]> https://blog.weisspc.com/healthcare-executives-in-prison-audio/feed/ 0 5467 Physician Goes to Jail in Referral Scheme https://blog.weisspc.com/physician-goes-to-jail-in-referral-scheme/ https://blog.weisspc.com/physician-goes-to-jail-in-referral-scheme/#respond Thu, 12 Jun 2014 15:00:38 +0000 https://blog.weisspc.com/?p=5138 From cash kickbacks to the company model to phony leases, deals between referring physicians and those physicians and facilities receiving referrals are subject to increasing scrutiny.

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]]> https://blog.weisspc.com/physician-goes-to-jail-in-referral-scheme/feed/ 0 5138 Healthcare Executives in Prison https://blog.weisspc.com/healthcare-executives-in-prison/ https://blog.weisspc.com/healthcare-executives-in-prison/#respond Tue, 25 Mar 2014 15:00:55 +0000 https://blog.weisspc.com/?p=4723 As hospitals gather more power courtesy of Obamacare, some are becoming more daring in terms of extracting cash from non-aligned physicians who don’t control referrals.

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]]> https://blog.weisspc.com/healthcare-executives-in-prison/feed/ 0 4723 Healthcare Kickbacks in the Fast Lane https://blog.weisspc.com/healthcare-kickbacks-in-the-fast-lane/ https://blog.weisspc.com/healthcare-kickbacks-in-the-fast-lane/#respond Tue, 18 Mar 2014 15:00:20 +0000 https://blog.weisspc.com/?p=4686 The cars are going at least 85 even though the posted speed limit is 65. What is the penalty if you are pulled over?

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]]> https://blog.weisspc.com/healthcare-kickbacks-in-the-fast-lane/feed/ 0 4686 Carve Outs as Kickbacks in the Hospital Setting – Medical Group Minute https://blog.weisspc.com/hospital-carve-out-kickbacks-risk-video/ https://blog.weisspc.com/hospital-carve-out-kickbacks-risk-video/#respond Tue, 24 Dec 2013 14:00:29 +0000 https://blog.weisspc.com/?p=4367 Is that carve out from your exclusive contract really a kickback to referring physicians?

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]]> https://blog.weisspc.com/hospital-carve-out-kickbacks-risk-video/feed/ 0 4367 Act on Company Model Threats as Soon as They Surface – Medical Group Minute https://blog.weisspc.com/act-on-company-model-threats-video/ https://blog.weisspc.com/act-on-company-model-threats-video/#respond Thu, 05 Dec 2013 14:00:38 +0000 https://blog.weisspc.com/?p=4328 Attack a company model arrangement as soon as the threat surfaces.

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]]> https://blog.weisspc.com/act-on-company-model-threats-video/feed/ 0 4328 The Bars Slammed Shut Behind the Doctor https://blog.weisspc.com/physician-barriers-to-leadership/ https://blog.weisspc.com/physician-barriers-to-leadership/#respond Mon, 12 Aug 2013 16:00:11 +0000 https://blog.weisspc.com/?p=3914 The bars slammed shut behind the doctor. All he did was order an implantable device for his patient — the device came from a physician owned distributorship, or “POD,” in which he held an ownership interest.

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]]> https://blog.weisspc.com/physician-barriers-to-leadership/feed/ 0 3914 Opting Out to Opt in for Yourself https://blog.weisspc.com/opting-out-to-opt-in-for-yourself/ https://blog.weisspc.com/opting-out-to-opt-in-for-yourself/#respond Wed, 07 Aug 2013 16:00:20 +0000 https://blog.weisspc.com/?p=3934 Some, a few, physicians had already opted out of the government system (Medicare) and out of the insurance system as well, going into “concierge” medicine. They were criticized as somehow being “less than” for not wanting to be a public utility. For not wanting to be sheep.

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]]> https://blog.weisspc.com/opting-out-to-opt-in-for-yourself/feed/ 0 3934 Preserving the Past – Podcast https://blog.weisspc.com/preserving-the-past-audio/ https://blog.weisspc.com/preserving-the-past-audio/#respond Fri, 07 Jun 2013 16:00:52 +0000 https://blog.weisspc.com/?p=2979 Physician groups are targets–hedge by taking risks outside of your current base.

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]]> https://blog.weisspc.com/preserving-the-past-audio/feed/ 0 2979 Take a Hammer to Average – Medical Group Minute https://blog.weisspc.com/take-a-hammer-to-average-video/ https://blog.weisspc.com/take-a-hammer-to-average-video/#respond Tue, 19 Mar 2013 16:00:46 +0000 https://blog.weisspc.com/?p=3063 Medical groups have two problems: They move too slow and do what everyone else does.

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]]> https://blog.weisspc.com/take-a-hammer-to-average-video/feed/ 0 3063 Preserving the Past https://blog.weisspc.com/preserving-the-past/ https://blog.weisspc.com/preserving-the-past/#respond Wed, 30 Jan 2013 17:00:54 +0000 https://blog.weisspc.com/?p=2893 Group leaders must devote significant time to how they're going to transform their businesses to not only evade attacks, but to capture new ground themselves.

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]]> https://blog.weisspc.com/preserving-the-past/feed/ 0 2893 Act on Company Model Threats as Soon as They Surface – Podcast https://blog.weisspc.com/act-on-company-model-threats-audio/ https://blog.weisspc.com/act-on-company-model-threats-audio/#respond Fri, 28 Dec 2012 17:00:21 +0000 https://blog.weisspc.com/?p=2511 Attack a company model arrangement as soon as the threat surfaces.

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]]> https://blog.weisspc.com/act-on-company-model-threats-audio/feed/ 0 2511 Act on Company Model Threats as Soon as They Surface https://blog.weisspc.com/act-on-company-model-threats/ https://blog.weisspc.com/act-on-company-model-threats/#respond Mon, 19 Nov 2012 17:00:47 +0000 https://blog.weisspc.com/?p=2490 The bus hurtles down the road, picking up speed, faster and faster, quickly passing one, then another, and then yet another large yellow sign warning that a sharp curve lies ahead, speed limit 15. But no one’s touching the brakes and, in fact, none of the passengers on the bus is driving. Then, 20 or 30...

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]]> https://blog.weisspc.com/act-on-company-model-threats/feed/ 0 2490 Carve Outs as Kickbacks in the Hospital Setting – Podcast https://blog.weisspc.com/hospital-carve-out-kickbacks-risk-audio/ https://blog.weisspc.com/hospital-carve-out-kickbacks-risk-audio/#respond Fri, 05 Oct 2012 16:00:50 +0000 https://blog.weisspc.com/?p=2276 Is that carve out from your exclusive contract really a kickback to referring physicians?

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]]> https://blog.weisspc.com/hospital-carve-out-kickbacks-risk-audio/feed/ 0 2276 Carve Outs as Kickbacks in the Hospital Setting https://blog.weisspc.com/hospital-carve-out-kickbacks-risk/ https://blog.weisspc.com/hospital-carve-out-kickbacks-risk/#respond Wed, 26 Sep 2012 16:00:40 +0000 https://blog.weisspc.com/?p=2233 Entrepreneurial medical practices are constantly seeking ways to expand their business and their profit. I’m all in favor of that and I’m sure you are, too – of course, as long as it’s done legally. Demands for kickbacks are quite another thing. You probably think of kickback demands from referring physicians in one or both of the...

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]]> https://blog.weisspc.com/hospital-carve-out-kickbacks-risk/feed/ 0 2233 The 83% and Concierge Care – Podcast https://blog.weisspc.com/concierge-care-value-perception-audio/ https://blog.weisspc.com/concierge-care-value-perception-audio/#respond Fri, 10 Aug 2012 16:00:30 +0000 https://blog.weisspc.com/?p=2036 Entrepreneurial thinking is the cure for dissatisfaction with Obamacare.

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]]> https://blog.weisspc.com/concierge-care-value-perception-audio/feed/ 0 2036 The 83% and Concierge Care https://blog.weisspc.com/concierge-care-value-perception/ https://blog.weisspc.com/concierge-care-value-perception/#respond Mon, 30 Jul 2012 16:00:46 +0000 https://blog.weisspc.com/?p=1971 Whether it’s the 83% reported in the press or even half of that, many physicians are questioning their career strategies in light of the Supreme Court’s upholding of the individual mandate within Obamacare. It appears certain that an increasing number of physicians will be disappointed with Obamacare and the burdensome requirements of its bureaucracy. From...

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]]> https://blog.weisspc.com/concierge-care-value-perception/feed/ 0 1971 Hospital-Based Services, Not Hot Dogs https://blog.weisspc.com/hospital-based-services-not-hot-dogs/ Fri, 05 Mar 2010 23:20:03 +0000 https://blog.weisspc.com/?p=332 If you're selling medical services but collecting only peanuts (or even hot dogs), you need a better agent.

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