HMA will pay over $260 million to resolve fraud claims involving unnecessary admissions, kickbacks and inflated ER fees.
Kickback
A Naive Anti-Kickback Question Answered – Podcast
There’s an expression in carpentry, “measure twice, cut once.” We should have the same expression in terms of healthcare deals…
Putting a Limit on Your Obligation to Indemnify – Medical Group Minute
You might skip over indemnification provisions when negotiating a contract. You understand what they are. Or do you?
Allegations of Underpaid Debt Lands Big Healthcare Players in Whistleblower Hell
A whistleblower lawsuit accuses Roche and Humana of using debt write-offs as kickbacks to keep diabetes products on formularies.
Physician Behind Bars for Referrals: Kickbacks, Bribes, and Mail Fraud
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.
Record Bust: 601 Defendants, Including 165 Doctors, Nurses and Other Licensees Charged With Over $2 Billion in Fraud
On Thursday, June 28th, the DOJ and HHS announced the largest ever health care fraud enforcement action.
Understanding Value on the Fly
Each payor places a different value on your services.
Kickback Disguise Schemes: Oh, What a Tangled Web We Weave – Podcast
“Psst! Send me some referrals. I can’t pay you directly, so I’ll pay your spouse.”
Swerving Into the Kickback Lane – Success in Motion
Kickback problems are like approaching traffic. Swerving to avoid them might lead you right into their path.
Drugs, Sentencing and Lock (and Roll) on to Another Kickback Prosecution – Podcast
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?