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The federal government, along with state and local authorities throughout the nation, have made it clear that they intend to continue their crackdown on illegal healthcare fraud. Although the goal is noble, these broad and sweeping statements can result in overly...
Merger and acquisition deals are big in the healthcare industry. Whether looking to combine forces to provide higher quality care or outsource more administrative tasks, these deals can be advantageous to everyone involved. Unfortunately, a single misstep can mean an...
Psychiatrists provide important care. Like any other form of medical care, these services are often billable to insurance companies, both private and federal. As such, the practices fall under many forms of federal and state regulations. Four of the most important...
The United States Centers for Medicare and Medicaid Services (CMS) has strict rules when it comes to business relationships between healthcare providers who file claims for payment from Medicare. Two primary examples are the Anti-Kickback Statute (AKS) and the Stark...
The Anti-Kickback Statute (AKS) is a federal law that lawmakers intend to help better ensure physicians and other medical professionals focus on quality healthcare over financial gain. The law makes it illegal to file false or fraudulent claims for payment with...
Physicians often have more financial flexibility than the general public. They can often find high paying jobs and set themselves up with extra funds to pursue different investment options. In some cases, these strategies can lead to a steady stream of additional...
The government expects healthcare providers to focus on patient care over financial gain. There are many regulations in place to help better ensure patients are protected and reduce the risk of temptation for healthcare professionals, but there are still those who...
Officials throughout the country continue to crackdown on potential healthcare fraud cases. The primary motivator is one of the oldest and strongest: money. The feds get billions back from healthcare fraud cases every year. How do these cases work? The government is...
The Anti-Kickback Statute (AKS) makes it illegal to encourage referrals for Medicare services in exchange for renumeration or other types of payment. There are some exceptions, referred to as safe harbors. One example is the personal services and contracts safe...
Everything is bigger in Texas, and as far as the feds are concerned that old adage holds true for healthcare fraud in recent years. In the past, the feds could generally only pursue allegations of illegal kickbacks against providers who billed federal programs....