remuneration Archives - Wisdom. Applied.

Probably the Most Valuable Anti-Kickback Lesson of All Time

Mark — Mon, 09 Dec 2024 17:16:29 +0000

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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Why Reverse Kickbacks Can Send You Back Up the River

Mark — Mon, 23 Sep 2024 15:24:37 +0000

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?

The post Why Reverse Kickbacks Can Send You Back Up the River appeared first on Wisdom. Applied..

Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House – Medical Group Minute

Mark — Wed, 31 Jul 2024 08:24:00 +0000

Although health care fraud doesn’t require the involvement of telemedicine, with advances in telemedicine come “advances” in criminal schemes.

The post Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House – Medical Group Minute appeared first on Wisdom. Applied..

Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House

Mark — Mon, 03 Jun 2024 14:44:00 +0000

Although health care fraud doesn’t require the involvement of telemedicine, with advances in telemedicine come “advances” in criminal schemes.

The post Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House appeared first on Wisdom. Applied..

OIG Permits Deferred Payment Physician Partner Buyout – Podcast

Mark — Thu, 11 Apr 2024 07:16:00 +0000

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.

The post OIG Permits Deferred Payment Physician Partner Buyout – Podcast appeared first on Wisdom. Applied..

OIG Permits Deferred Payment Physician Partner Buyout – Medical Group Minute

Mark — Wed, 27 Mar 2024 07:32:00 +0000

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.

The post OIG Permits Deferred Payment Physician Partner Buyout – Medical Group Minute appeared first on Wisdom. Applied..

OIG Permits Deferred Payment Physician Partner Buyout

Mark — Mon, 15 Jan 2024 16:39:52 +0000

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.

The post OIG Permits Deferred Payment Physician Partner Buyout appeared first on Wisdom. Applied..

It’s National Kickback Day! (Sort of like Groundhog Day, But More Expensive) – Medical Group Minute

Mark — Wed, 08 Nov 2023 09:21:00 +0000

Sometimes, I think it's Groundhog Day.

The post It’s National Kickback Day! (Sort of like Groundhog Day, But More Expensive) – Medical Group Minute appeared first on Wisdom. Applied..

It’s National Kickback Day! (Sort of like Groundhog Day, But More Expensive) – Podcast

Mark — Thu, 26 Oct 2023 08:38:00 +0000

Sometimes, I think it's Groundhog Day.

The post It’s National Kickback Day! (Sort of like Groundhog Day, But More Expensive) – Podcast appeared first on Wisdom. Applied..

The Combination to Joint Ventures – Podcast

Mark — Thu, 05 Oct 2023 10:13:00 +0000

I found an old lock in the garage. Now, what's the combination?

The post The Combination to Joint Ventures – Podcast appeared first on Wisdom. Applied..

It’s National Kickback Day! (Sort of like Groundhog Day, But More Expensive)

Mark — Mon, 02 Oct 2023 15:14:52 +0000

Explore the complexities of kickback schemes and learn how to navigate the legal landscape in healthcare effectively.

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New OIG Advisory Opinion on Contractual Joint Venture Creates Tidal Wave in Anesthesia and Other Referral Based Specialties

Mark — Mon, 28 Aug 2023 11:55:00 +0000

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.

The post New OIG Advisory Opinion on Contractual Joint Venture Creates Tidal Wave in Anesthesia and Other Referral Based Specialties appeared first on Wisdom. Applied..

Pharmacist Compounds Cream With Kickbacks – Gets 18 Months Behind Bars. A Lesson for Physicians.

Mark — Mon, 03 Apr 2023 16:05:49 +0000

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.

The post Pharmacist Compounds Cream With Kickbacks – Gets 18 Months Behind Bars. A Lesson for Physicians. appeared first on Wisdom. Applied..

Doctor Walks Into DME Telehealth Fraud Scheme. Brace Yourself to Avoid the Same Fate.

Mark — Mon, 31 Oct 2022 13:42:00 +0000

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.

The post Doctor Walks Into DME Telehealth Fraud Scheme. Brace Yourself to Avoid the Same Fate. appeared first on Wisdom. Applied..

FMV Is No More Anti-Kickback Compliance Than Ground Pepper Is Pot Roast – Medical Group Minute

Mark — Wed, 26 Oct 2022 11:00:00 +0000

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.

The post FMV Is No More Anti-Kickback Compliance Than Ground Pepper Is Pot Roast – Medical Group Minute appeared first on Wisdom. Applied..

Free Services (Like Medical Directorships) Are Slippery Slide to Compliance Hell – Success in Motion

Mark — Tue, 23 Aug 2022 11:00:00 +0000

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.

The post Free Services (Like Medical Directorships) Are Slippery Slide to Compliance Hell – Success in Motion appeared first on Wisdom. Applied..

FMV Is No More Anti-Kickback Compliance Than Ground Pepper Is Pot Roast – Podcast

Mark — Thu, 11 Aug 2022 11:00:00 +0000

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.

The post FMV Is No More Anti-Kickback Compliance Than Ground Pepper Is Pot Roast – Podcast appeared first on Wisdom. Applied..

OIG Releases Special Fraud Alert on Telemedicine Arrangements

Mark — Mon, 25 Jul 2022 15:11:55 +0000

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.

The post OIG Releases Special Fraud Alert on Telemedicine Arrangements appeared first on Wisdom. Applied..

Lab Made Kickbacks? Allegations Lead to 10 Indictments. How Not to be Number 11. – Medical Group Minute

Mark — Wed, 08 Jun 2022 11:00:00 +0000

Lab made meat. Lab made leather. Both appeared in the news this week.

The post Lab Made Kickbacks? Allegations Lead to 10 Indictments. How Not to be Number 11. – Medical Group Minute appeared first on Wisdom. Applied..

FMV is no More Anti-Kickback Compliance than Ground Pepper is Pot Roast

Mark — Mon, 09 May 2022 15:23:24 +0000

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.

The post FMV is no More Anti-Kickback Compliance than Ground Pepper is Pot Roast appeared first on Wisdom. Applied..

Lab Made Kickbacks? Allegations Lead to 10 Indictments. How Not to be Number 11. – Podcast

Mark — Thu, 21 Apr 2022 11:00:00 +0000

Lab made meat. Lab made leather. Both appeared in the news this week.

The post Lab Made Kickbacks? Allegations Lead to 10 Indictments. How Not to be Number 11. – Podcast appeared first on Wisdom. Applied..

It’s Not Just My Opinion, the OIG Changes the Rules on Opinions – Success in Motion

Mark — Tue, 08 Mar 2022 12:00:00 +0000

Ride along with Mark as he shares his opinion on the OIG’s revised rules for opinions.

The post It’s Not Just My Opinion, the OIG Changes the Rules on Opinions – Success in Motion appeared first on Wisdom. Applied..

Lab Made Kickbacks? Allegations Lead to 10 Indictments. How Not to be Number 11.

Mark — Mon, 14 Feb 2022 17:11:57 +0000

Lab made meat. Lab made leather. Both appeared in the news this week.

The post Lab Made Kickbacks? Allegations Lead to 10 Indictments. How Not to be Number 11. appeared first on Wisdom. Applied..

$871.9 Million Dollar Pill Proves Hard to Swallow

Mark — Mon, 11 Oct 2021 16:24:00 +0000

But what about the rising price of settling allegations of pharmaceutical price-fixing?

The post $871.9 Million Dollar Pill Proves Hard to Swallow appeared first on Wisdom. Applied..

When’s It a Violation of the Law?

Mark — Mon, 13 Sep 2021 16:43:49 +0000

For example, when is a payment or a lease or some service a kickback?

The post When’s It a Violation of the Law? appeared first on Wisdom. Applied..

Felonious Forest Park Physicians Freighted Off To Federal Prison – Podcast

Mark — Thu, 09 Sep 2021 11:00:00 +0000

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.

The post Felonious Forest Park Physicians Freighted Off To Federal Prison – Podcast appeared first on Wisdom. Applied..

Felonious Forest Park Physicians Freighted off to Federal Prison – Medical Group Minute

Mark — Wed, 14 Jul 2021 11:00:00 +0000

The post Felonious Forest Park Physicians Freighted off to Federal Prison – Medical Group Minute appeared first on Wisdom. Applied..

Felonious Forest Park Physicians Freighted Off To Federal Prison

Mark — Mon, 22 Mar 2021 11:00:00 +0000

The post Felonious Forest Park Physicians Freighted Off To Federal Prison appeared first on Wisdom. Applied..

Two Frauds Aren’t Better Than One: Second of the NextHealth & Forest Park Fraud Twins Sentenced – Podcast

Mark — Thu, 14 Jan 2021 12:00:00 +0000

Double your felony,
Double your sums.
Oops we got caught,
Now we're jailhouse bums.

The post Two Frauds Aren’t Better Than One: Second of the NextHealth & Forest Park Fraud Twins Sentenced – Podcast appeared first on Wisdom. Applied..

Doc Daughter Settles Civilly, Parents Aren’t So Lucky – Success in Motion

Mark — Tue, 04 Aug 2020 11:00:00 +0000

Ride along with Mark as he discusses a kickback case involving a doctor daughter and indicted parents.

The post Doc Daughter Settles Civilly, Parents Aren’t So Lucky – Success in Motion appeared first on Wisdom. Applied..

Two Frauds Aren’t Better Than One: Second of the NextHealth & Forest Park Fraud Twins Sentenced

Mark — Mon, 01 Jun 2020 13:00:00 +0000

Learn about the twin healthcare fraud schemes and federal prison sentences surrounding a recent prosecution in Texas.

The post Two Frauds Aren’t Better Than One: Second of the NextHealth & Forest Park Fraud Twins Sentenced appeared first on Wisdom. Applied..

Sutter Health and Surgeons Settle Whistleblower’s Kickback Allegations for $31M – Success in Motion

Mark — Tue, 14 Apr 2020 11:00:00 +0000

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.

The post Sutter Health and Surgeons Settle Whistleblower’s Kickback Allegations for $31M – Success in Motion appeared first on Wisdom. Applied..

How to Convict Yourself of Violating the Anti-Kickback Statute

Mark — Mon, 17 Feb 2020 14:00:00 +0000

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.

The post How to Convict Yourself of Violating the Anti-Kickback Statute appeared first on Wisdom. Applied..

No More Walk in the Park for Convicted Forest Park Defendants – Medical Group Minute

Mark — Wed, 21 Aug 2019 15:32:05 +0000

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.

The post No More Walk in the Park for Convicted Forest Park Defendants – Medical Group Minute appeared first on Wisdom. Applied..

No More Walk in the Park for Convicted Forest Park Defendants – Podcast

Mark — Thu, 06 Jun 2019 15:17:33 +0000

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.

The post No More Walk in the Park for Convicted Forest Park Defendants – Podcast appeared first on Wisdom. Applied..

No More Walk in the Park for Convicted Forest Park Defendants

Mark — Mon, 15 Apr 2019 17:31:39 +0000

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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Kickback Disguise Schemes: Oh, What a Tangled Web We Weave – Podcast

Mark — Thu, 05 Apr 2018 16:00:21 +0000

“Psst! Send me some referrals. I can’t pay you directly, so I’ll pay your spouse.”

The post Kickback Disguise Schemes: Oh, What a Tangled Web We Weave – Podcast appeared first on Wisdom. Applied..

Greasy Kickback Residue is All That’s Left of Pain Cream Fraud – Medical Group Minute Series

Mark — Wed, 05 Jul 2017 16:00:17 +0000

Understand the implications of the kickback allegations against pharmacy owners and doctors in this unfolding healthcare scandal.

The post Greasy Kickback Residue is All That’s Left of Pain Cream Fraud – Medical Group Minute Series appeared first on Wisdom. Applied..

For Whom the Whistle Blows: More Debris From the Fate of Fata – Medical Group Minute

Mark — Wed, 25 Jan 2017 17:00:55 +0000

The scalpel of surgeon Farid Fata, M.D. continues to cut from beyond the metaphorical grave...

The post For Whom the Whistle Blows: More Debris From the Fate of Fata – Medical Group Minute appeared first on Wisdom. Applied..

For Whom the Whistle Blows #2: More Debris From the Fate of Fata

Mark — Mon, 19 Dec 2016 16:00:20 +0000

The scalpel of surgeon Farid Fata, M.D. continues to cut from beyond the metaphorical grave, i.e., from behind the walls, gates, and concertina wire of the United States Penitentiary in Atlanta, Georgia. In mid-2015, Dr. Fata traded in his scrubs for a prison uniform when he was sentenced to 45 years in jail for a...

The post For Whom the Whistle Blows #2: More Debris From the Fate of Fata appeared first on Wisdom. Applied..

Greasy Kickback Residue Is All That’s Left of Pain Cream Fraud

Mark — Mon, 24 Oct 2016 15:00:43 +0000

Understand the implications of the kickback allegations against pharmacy owners and doctors in this unfolding healthcare scandal.

The post Greasy Kickback Residue Is All That’s Left of Pain Cream Fraud appeared first on Wisdom. Applied..

Pills, Capsules, and Kickbacks: Drug Manufacturer Pays $125 Million. Execs and Docs Headed to Jail – Podcast

Mark — Thu, 17 Dec 2015 17:00:24 +0000

I know. In light of tons of illegal profits, complying with the federal anti-kickback law (“AKS") is a hard sell.

The post Pills, Capsules, and Kickbacks: Drug Manufacturer Pays $125 Million. Execs and Docs Headed to Jail – Podcast appeared first on Wisdom. Applied..

Kickback Disguise Schemes: Oh, What a Tangled Web We Weave – Medical Group Minute

Mark — Wed, 09 Dec 2015 19:33:19 +0000

“Psst! Send me some referrals. I can’t pay you directly, so I’ll pay your spouse.”

The post Kickback Disguise Schemes: Oh, What a Tangled Web We Weave – Medical Group Minute appeared first on Wisdom. Applied..

Pills, Capsules, and Kickbacks: Drug Manufacturer Pays $125 Million. Execs and Docs Headed to Jail

Mark — Mon, 02 Nov 2015 16:00:16 +0000

A $125 million settlement and jail time for executives and physicians. This case shows how deeply liability can run.

The post Pills, Capsules, and Kickbacks: Drug Manufacturer Pays $125 Million. Execs and Docs Headed to Jail appeared first on Wisdom. Applied..

The Combination to Joint Ventures – Medical Group Minute

Mark — Wed, 17 Jun 2015 13:00:42 +0000

When we talk about joint ventures in healthcare, we tend to think of illegality.

The post The Combination to Joint Ventures – Medical Group Minute appeared first on Wisdom. Applied..

Kickback Disguise Schemes: Oh, What a Tangled Web We Weave

Mark — Mon, 08 Jun 2015 15:00:43 +0000

Attempting to hide healthcare kickbacks through third parties is a losing strategy. One case shows just how costly that mistake can be.

The post Kickback Disguise Schemes: Oh, What a Tangled Web We Weave appeared first on Wisdom. Applied..

The Combination to Joint Ventures

Mark — Mon, 11 Aug 2014 15:00:04 +0000

When we talk about joint ventures in healthcare, we tend to think of illegality, as in "suspect joint venture," the pejorative term crafted by the OIG.

The post The Combination to Joint Ventures appeared first on Wisdom. Applied..

Hospital Pays $8.5 Million False Claims Act Settlement in Illegal Joint Venture

Mark — Mon, 07 Apr 2014 14:58:57 +0000

Joint ventures between entities or individuals in the position to refer and the entities or individuals which receive those referrals are often disguised kickback arrangements.

The post Hospital Pays $8.5 Million False Claims Act Settlement in Illegal Joint Venture appeared first on Wisdom. Applied..