Fraud & Abuse Compliance

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 …..

2024-12-04T13:37:54-06:00September 30th, 2011|Categories: Fraud & Abuse Compliance, Health Law, Stark II|Tags: |

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 …..

2024-12-04T13:38:20-06:00July 1st, 2011|Categories: Anti-Kickback Statute, Fraud & Abuse Compliance|Tags: |

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 …..

2024-12-04T13:40:04-06:00July 30th, 2010|Categories: Fraud & Abuse Compliance, Health Law|Tags: |

Fraud and Abuse Compliance Review No. 1: Physician Services Agreements

With the federal government’s stated goal to help pay for the coming healthcare reform package through increased fraud and abuse enforcement, it is imperative hospitals conduct a compliance review of their contractual arrangements with physicians …..

2024-12-04T13:40:28-06:00February 26th, 2010|Categories: Fraud & Abuse Compliance, Health Law|Tags: |

Changes to False Claims Act Present Greater Risks to Healthcare Providers

The Civil False Claims Act (FCA), 31 U.S.C. §3729, has long been an effective weapon for the federal government in combating fraud and abuse in government contracting. The Office of Inspector General (OIG) for the …..

2024-12-04T13:41:18-06:00November 25th, 2009|Categories: Fraud & Abuse Compliance|Tags: |

Significant Changes to Stark II Exceptions Go Into Effect October 1, 2009

Healthcare reform has never been so much in the forefront of the public’s mind. However, with all of the discussion focused on broad overarching policy goals, it is easy to forget that the Centers for …..

2024-12-04T13:41:41-06:00August 26th, 2009|Categories: Fraud & Abuse Compliance, Health Law, Stark II|Tags: |
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