Tag Archives: Fraud

Has the Stark Law Outlived Its Usefulness?

With healthcare gradually¬†(or rapidly) moving from a fee for service (“FFS”) world to a value-based care world, questions about the laws and regulations governing relationships within healthcare are increasing. The predominant current regulatory framework, exemplified by the Stark Law and … Continue reading

Posted in ACO, Compliance, Healthcare Reform, Regulations, Stark Law | Tagged , , , , , | Leave a comment

Fraud Takedown: Same Old Song, Expanding Dance

It seems as though multiple times per year the Department of Justice, the Department of Health and Human Services (“HHS”), or some other enforcement agency announces the largest sweep or takedown of health care related fraud. A joint Department of … Continue reading

Posted in Anti-kickback Statute, Compliance, Stark Law | Tagged , , , , | Leave a comment

Don’t Submit Bills for Student Services – Ever!

Recently, some medical practices have had to reimburse the government for bills that showed that students, rather than physicians or licensed practitioners, had furnished services to Medicare beneficiaries. Apparently, some practitioners believe that if the supervising physician or midlevel provider … Continue reading

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