Stark

In addition to focusing on value-based care, the Stark Law and Anti-kickback Statute (AKS) Final Rules alter several decades of safeguards, as long as certain parameters are met. This is Part II of a three-part series.

Stark and AKS Final Rules focus on value-based care. This is Part I of a three-part series.

Most physician compensation structures must comply with Stark laws. The danger is that practices may be in violation without realizing it, putting themselves at risk of fines and exclusion from Medicare and Medicaid.

Recent cases underscore that what a medical director is paid must be of fair market value and the CMS duty requirements must be met.

As the healthcare landscape continues to evolve, so do funding opportunities.

A recent announcement by CMS for comments may be a welcome reprieve for physicians.

There are many examples where an expired agreement can accidently violate Stark Law. Here's what you should know.

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.

If you think non-compliance with Stark Law is no big deal, think again. There are consequences for ignoring it.

Practices might be inclined to take on a legal issue on its own. Here are a few situations when they should hire a lawyer instead.

Receiving cash for a referral is the most obvious gift that violates the Anti-Kickback Statute. Here are eight more.

If physicians didn't have enough to worry about with fraud, they should be wary of bankruptcy trustees seeking "claw backs."

When your practice is under a False Claims Act investigation, here are some steps to take from a legal perspective.

What happens when a practice accidentally bills for a procedure that has never been performed. Here are ways to ensure you never find out.

Old government regulations need to adapt to new healthcare technologies, advises a former DOJ attorney.

An overview of the four federal healthcare fraud statutes and what your practice can do to avoid violating any of them.

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.

Change is coming. A repeal of the ACA, MACRA, and other vital issues will have to stay on a practice's radar in 2017.

More insight and important takeaways for physicians with regards to the final rule around safe harbors for the Anti-Kickback Statute.

A new rule creates certain "safe harbor" provisions under the Federal Anti-Kickback Statute with regards to transportation.

A recurring pattern of fraud and embezzlement peaks at the end of each year. What practices must be aware of, both internally and externally.

A recent case exemplified why every practice - regardless of size - needs to play by the rules when it comes to the False Claims Act and Stark Law.

Here are eight elements of an effective corporate compliance program, which can prevent healthcare fraud and abuse before it ever starts.

Here are a few lessons practices can take from the recent announcement of criminal charges brought up against three physicians by a federal task force.

A recent hearing by the Senate Finance Committee brought up the possibility the Stark Law could be revamped to something simpler.

The personal services safe harbor law exists to protect physicians from prosecution when they receive payments for legitimate services.

The activities of a few bad physicians in the healthcare industry will continue to make the business of healthcare an overly regulated one.

If you have federal health plan patient, you need to pay careful attention to the rules of the Stark Law and the federal Anti-Kickback Statute.

While the concept of physicians disclosing potential wrongdoing might appear valid on paper, it is actually more trouble that it is worth.