On Thursday, June 28th, the 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, for their alleged participation in health care fraud schemes involving more than $2 billion in false billings. The […]
Tag: statute
Physicians (and others) considering forming a Medicare certified ASC have to be very careful about not confusing the ASC entity’s purpose.
Just like speeding, the chances of getting caught are probably only 1% or 2%. Eventually, though, someone will be pulled over.
You must be extremely careful when entering into any physician compensation arrangement, whether you are the payor or the recipient in order to steer clear of possible AKS violations.
There’s an expression in carpentry, “measure twice, cut once.”
Once again, the facility is no longer an ASC either for safe harbor or for Medicare billing purposes.
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 cars are going at least 85 even though the posted speed limit is 65.
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.
You can see why it’s so tempting for unscrupulous hospital CEOs to offer kickbacks to physicians.