The Anti-Kickback Statute (AKS) is a federal law to prevent fraud and abuse in healthcare, particularly the influence of money on medical decisions. It is not uncommon for hospital CEOs, given their influential positions, to find themselves facing allegations of...
Stark Law/Anti-Kickback Statutes
Tips to reduce the impact of tariffs on medical supply chains
Tariffs help shape the economics of global supply chains, including those that impact the healthcare industry. Medical devices, medications, and supplies are often sourced from different parts of the world, and tariffs can influence pricing, availability, and...
Independent physician owned surgical centers: 2 tips to make the most of 2025
Ambulatory surgical centers (ASCs) have seen significant growth over recent years, reshaping the landscape of patient care in the process. These facilities offer a convenient and cost-effective alternative to hospitals for outpatient surgeries, which has implications...
Ambulatory surgical centers and federal oversight
Ambulatory surgical centers (ASCs) have become a vital component of the healthcare landscape, offering a range of surgical procedures that do not require an overnight hospital stay. It is important for physicians considering investment or involvement in ASCs to...
Important lesson from recent whistleblower case for Stark Law violation
A healthcare system recently reached a settlement agreement with the federal government to resolve a whistleblower suit. One of the primary charges in the case involved allegations of improper compensation. The government, through the whistleblower, claimed that over...
What do physicians need to know about conflict of interest?
Physicians need to navigate the relationships that are built within the profession carefully to maintain patient trust and uphold professional integrity. Conflicts of interest can occur when a physician’s personal or financial interests intersect with their duty to...
Internal audit leads to concerning results: What if I find an AKS violation?
Those who run healthcare facilities or private practices likely conduct regular internal audits to better ensure operations are in line with applicable regulations. Ideally, these audits will spot any potential issues before the rise to the level of a violation. On...
Whistleblower targets Houston neurologist for healthcare fraud
Officials recently pursued allegations of healthcare fraud against a neurologist from Houston, stating his neurology group falsely billed Medicare Part B for services that were either not medically necessary or provided by untrained and unlicensed technicians. In...
Charting the changes: How the Stark Law shapes healthcare today
Healthcare regulation is an ever-evolving landscape, and the Stark Law serves as a prime example of this progression. Originally enacted to prevent conflicts of interest in physician referrals and close a loophole in the Anti-Kickback Statute, the Stark Law has...
What’s at stake? Three common penalties for healthcare fraud
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...