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The Anti-Kickback Statute (AKS) is a powerful legal tool the government can use to come after healthcare professionals it believes are fraudulently billing federal programs like Medicare and Medicaid. A violation can led to more than just civil penalties, as it is a...
Knowing how healthcare regulations impact operations is important. The government’s use of these regulations is generally guided by two things. First, the language of the law. The provisions, definitions, and information within the actual law give us the initial round...
Medical professionals who are interested in starting a diagnostic lab can benefit from the following tips: Check the market. This is pretty foundational to any business. Check to make sure this market makes sense for your lab. If not, look elsewhere. Spread the word....
The government is serious about putting an end to healthcare fraud in the country and will aggressively pursue allegations of wrongdoing. They are especially fierce when those allegations come against someone who already has a prior conviction. Recent example shows...
The Department of Justice (DOJ) uses the Anti-Kickback Statute (AKS) as one of its primary tools to crackdown on healthcare fraud. This is a powerful and effective legal tool, but the government has recognized one key setback: the AKS is geared for those who use...
Allegations of healthcare fraud can lead to serious penalties. Those who face these allegations are often highly intelligent people like physicians and chief executives of healthcare facilities. As a result, it is not a surprise that these individuals often think they...
Home healthcare services provide medical treatment to patients who do not require hospitalization. Patients who use these services include individuals who may wish to remain within their own homes but still require assistance. Without additional help they could fail...
Surgeons use all sorts of tools to help their patients. Figuring out which is the best is not always easy. This can make an offer to try a new medical device tempting, but physicians are wise to take care before accepting such offers. Failure to follow the rules can...
Over the past few years, hospitals and colleges have announced vaccination requirements for staff as a condition of employment. This announcement was tied in part to the U.S. Centers for Medicare and Medicaid Service (CMS) requiring eligible healthcare providers have...
The Supreme Court of the United States recently agreed to review a case on kickbacks. The case involves Pfizer, pharmaceutical mega-giant, who appealed a lower court's holding. The company tried to argue that its plan to cover Medicare patients’ co-payments for an...
