Lawmakers designed the federal Anti-Kickback Statute (AKS) to help better ensure medical professionals focus on the well-being of their patients. Lawmakers intended this piece of regulation to reduce the risk of medical decisions based on financial gain. But what...
New York Health Care Lawyers Who Have Decades Of Combined Experience
Stark Law/Anti-Kickback Statutes
NY telehealth company could get millions in acquisition deal
The current coronavirus pandemic has forced us to rethink our daily lives. We have had to change how we work, how we communicate, and how we get medical care.One realization: we may have downplayed the importance of telemedicine. We have had the technology to utilize...
Ex NFL star gets 22 yrs for health care fraud, asks for leniency
A court recently found former Jacksonville Jaguars defensive back Monty Ray Grow guilty of health care fraud and sentenced him to 22 years imprisonment as well as over $19 million in mandatory restitution. The conviction was part of criminal allegations connected to...
Spine device manufacturer faces lawsuit for health care fraud
The United States Department of Justice (DOJ) recently announced it was pursuing allegations of health care fraud against a spine device manufacturer along with its executives.What were the accusations? The agency specifically stated the founder and chief executive...
One key difference between civil and criminal AKS violations
The government uses the Anti-Kickback Statute (AKS) to help better ensure doctors are not letting financial gain impact decisions about patient care. As a result, the government may make an AKS claim if a doctor is getting payment or has some financial benefit from an...
Do chiropractors need to worry about violating referral laws?
Patients are not the only ones who pay the bill when it comes to medical care. In some cases, the government is also spending money. The government may pay the entire or a portion of the bill, for example, for Medicare patients. As a result, lawmakers have put various...
Will CMS update Stark Law? 3 things to know about new proposal.
The Centers for Medicare and Medicaid Services (CMS) recently released a proposal to change the Stark Law. The proposal is not current law, but the agency has stopped taking public comments. #1: Volume to value. The federal agency claims that it supports a shift from...
Will HHS increase oversight of patient assistance charities?
Lawmakers are encouraging the United States Department of Health and Human Services (HHS) to increase oversight of patient assistance charities. These charities are set up to help pay for the cost of prescription medications. However, there are allegations the...
HHS proposes changes to Stark Law and AKS: 4 things to know
On October 9, 2019, the United States Department of Health and Human Services (HHS) proposed some of the largest changes to the Stark Law, which guides physician self-referrals, and the Anti-Kickback Statute (AKS) discussed in decades. The proposals are part of the...
Head of tech company pleads guilty to health care fraud
The government has continued its prosecution of those connected to a health care fraud case that extended past borders in what the Justice Department has called “one of the largest health care fraud schemes prosecuted to date in the U.S.”The most recent...