Articles
Tuomey Hospital Ordered to Pay $237 Million for Violating Stark II: Lessons Hospitals Should Take from the Decision.
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Simple Tips to Avoid Stark II Violations
With increased government enforcement, hospitals must continually be vigilant in ensuring the hospital’s compliance with the federal and state fraud and abuse laws. While there has been an escalation in the number of criminal prosecutions …..
OIG Successfully Limits Employee Exception to Federal Anti-Kickback Statute in U.S. v. Borrasi
The United States Court of Appeals for the Seventh Circuit recently affirmed the criminal conviction of Roland Borrasi, M.D. for conspiring to defraud the United States and for violating the Federal Anti-Kickback Statute by accepting …..
What Hospitals Should Know about the OIG 2011 Work Plan
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OIG Identified Enforcement Priorities for 2011
The Office of Inspector General (OIG) for the Department of Health and Human Services (HHS) issued its annual Work Plan on October 1, 2010. The 2011 Work Plan, which describes new and ongoing audit and …..
Fraud and Abuse Compliance Review No. 2: Fair Market Value and Commercially Reasonable
(Author’s/Editor’s note: This will be a series of articles addressing Fraud & Abuse) Every financial relationship a hospital has with a physician or physician owned entity must be reviewed and structured to ensure it complies …..