Unlike the Anti-kickback Statute (AKS), when Stark Law applies, the only safe way to make a referral is to fit squarely within an exception.
A recent case shows physicians that while commercial payers don't have badges and guns, they can hit your wallet hard.
Watch out for aggressive language in hospital employment agreements requiring physicians to recoup all payments to insurance companies.
How does the recent telemedicine ruling in Texas correlate to mail-order pharmacies? Martin Merritt explains in this blog.
If physicians didn't have enough to worry about with fraud, they should be wary of bankruptcy trustees seeking "claw backs."
The AHCA would have likely brought back "post-claims underwriting," which would have been bad news for physicians.
As Otto Von Bismarck once said, "If you like laws and sausages, you should never watch either one being made." That's true for new Safe Harbor regulations.
More than 20 healthcare professionals from a hospital in Texas are being charged with a kickback conspiracy involving over $500 million in insurance claims.
A former FBI agent talks about the sure tell signs that a patient may be lying to you.
Stricter government standards for the FCA suggest that physicians who do not meet all measures of compliance could be required to refund claims payment.