Proposed Changes to Stark and Anti-Kickback Laws

The U.S. Department of Health and Human Services Office of the Inspector General, in conjunction with the Centers for Medicare & Medicaid Services, has unveiled long-awaited proposals to revise safe harbor protections under the federal anti-kickback statute for certain coordinated care and associated value-based arrangements. The proposed new regulations also would add protections under the […]

Be Aware of PBA Amendments and Fourth DCA Decision

A bill signed into law by Florida Gov. Ron DeSantis, that was intended to clarify Florida’s Patient Brokering Act (PBA) may likely cause even more confusion in the provider community. The PBA is Florida’s primary anti-kickback law. It is an all payer felony statute, meaning it reaches both private insurance as well as the Florida […]

OIG: Complimentary In-Home Care Permitted, Despite Potential Anti-Kickback Violation

A recent advisory opinion issued by the U.S. Department of Health and Human Services Office of the Inspector General has given a medical center the go-ahead to provide free in-home care to reduce re-admissions, despite a prohibition against giving patients handouts that might influence care decisions. The OIG advisory opinion is in response to a […]

Ridesharing Agreements Present Anti-Kickback Risks

Earlier this month, Uber announced the unveiling of a new service it has dubbed “Uber Health” which it describes as “a way to partner with healthcare organizations to provide reliable, comfortable transportation for patients.” The dashboard allows healthcare professionals to order rides for patients who either need to get to, or get home from, healthcare […]

Government Cracking Down on Genetic Testing Labs

As the use of genetic testing has grown in popularity, so too have the number of investigations into allegations that these labs may be paying kickbacks to physicians for ordering unnecessary tests. Most recently, two testing labs, Proove Biosciences in Irvine, Calif. and Dallas-based Next Health LLC, have been under investigation for doing just that. […]

Report: HHS OIG fraud recoveries on the rise

The Department of Health and Human Services Office of the Inspector General recently released its semi-annual Report to Congress outlining its anti-fraud activities. The report highlights OIG’s accomplishments for the six-month period ending March 31, 2016. The agency noted that during that period it reported expected recoveries of more than $2.77 billion consisting of nearly […]

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