Over the years, I have dealt with many hospital CEOs that I thought were criminals. In fact, I have dealt with some who were indicted, and, in at least one case, a CEO who later became a long-term “guest” in the Gray Bar Hotel. But it still amazed me to read last week in a […]
There’s an expression in carpentry, “measure twice, cut once.”
Hitch a ride with Mark and learn about the federal government’s growing push to penalize noncompliance with healthcare regulations including their attempt to federalize alleged violations of purely state law.
Every once in while I get someone who asks me the following type of question: “Can you give me the name of one person who has gone to jail for violating the federal Anti-Kickback Statute in the context of . . . ” and then they go and describe some very specific fact situation, for […]
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.
All-Points Bulletin: Be on the lookout for the following suspect: No race. No sex. No height. No weight. Approximately zero to 6 years of age. Name unknown. Alias: Suspect Joint Venture. If seen, contact OIG or DOJ. Or, just blow the whistle and claim a bounty. As healthcare moves from the hospital setting to an […]
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.
The OIG has released a new opinion (13-15) questioning the legality of a carve out provision in an anesthesia exclusive contract in favor of the referring medical group.