Allegations of Medicare fraud can extend beyond doctors, nurses and hospital executives. Those in other professions can also find themselves accused of abusing this system. A recent example involves a case out of the Southern District of New York. Government accuses a...
Stark Law/Anti-Kickback Statutes
Compliance with the anti-kickback statute is crucial
If you work in the healthcare industry, you should know the basics of anti-kickback law. The anti-kickback statute makes it illegal for healthcare providers, like physicians, to accept bribes or other payments in exchange for generating business in federal benefit...
Clinical labs: How does a new federal law impact your business?
Lawmakers often pass or change laws with good intentions. In some cases, those intentions may not translate in the real world. An attempt to thwart wrongdoing can result in an unnecessarily confining situation.A recent change to the federal laws regarding payment to...
Trump shakes up healthcare: Considers relaxing kickback rules
President Donald Trump may change the rules regarding kickbacks in the medical field. His administration called for public comment on the matter in August. The agency took in public comments about the issue through October 26, 2018. The comments include many calls for...
Will the HHS find alternative pay an Anti-Kickback violation?
The government is working to transform our healthcare system into one that pays for value. The Health and Human Services Department (HHS) recognizes that care coordination is an important tool to meeting this goal. However, the government has also recognized...
3 lessons from NY medical center accused of healthcare fraud
It began with a remodel project. A hospital in Northern New York decided to update its site. The project included the addition of new patient suites and upgrades, scheduled for completion in 2019. The cost of the project soared from $466 million to $545 million. Funds...
Will midterm elections lead to regulatory change?
The results are in — Democrats gained at least 28 seats in the House of Representatives and have control of the chamber while the Republicans hold their majority in the Senate. This shift could impact a number of areas, including the push for regulatory relief in the...
Physicians and labs: New law increases risk of investigation
The “Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communications Act,” also known as the SUPPORT Act, is a broad piece of legislation signed into law by President Donald Trump on October 24, 2018. The law will impact...
Health care industry take note: Current enforcement trends
The health care industry is heavily regulated. Various laws and court cases impact the practices of drug manufacturers, physicians, nursing homes and others in the medical field. Those that are part of this field are wise to stay abreast of changes that could impact...
U.S. hospital chain to pay over $260M to settle fraud charges
Allegations of kickback violations can lead to more than just harsh civil penalties, they can also lead to criminal charges. That was the case when the government accused a national hospital chain of various forms of healthcare fraud, including kickback violations....

