George MikhailOn October 9, HHS released two proposed rules aimed at modernizing the Stark Law and Anti-kickback Statute (AKS), particularly as they apply to value-based arrangements.…
On July 29, the Centers for Medicare & Medicaid Services (CMS) published the CY 2020 Medicare Physician Fee Schedule Proposed Rule. Buried amongst the fee…
Another Anti-Kickback Law to be Aware of in Clinical Treatment Facility Deals
Posted in Fraud and Abuse
Susan HuntingtonThe impact of the Eliminating Kickbacks in Recovery Act of 2018 (EKRA), enacted in October 2018, as part of the Substance Use-Disorder Prevention that Promotes…
A ruling Monday by the U.S. Supreme Court in Cochise Consultancy, Inc. v. United States ex rel. Hunt, No. 18-315, (Sup. Ct. May 13, 2019)…
Alexandra PearsallThe Centers for Medicare & Medicaid Services (“CMS”) recently published proposed changes to the Anti-Kickback Statute and Stark Law to address concerns that these laws…
Day PitneyIn United States v. Mehmood, the Sixth Circuit affirmed the conviction of Zafar Mehmood and Badar Ahmadani but vacated their sentences and remanded for resentencing.…
Support Grows for Stark Law Modification or Repeal
There has been a recent groundswell of support for modifying or eliminating the federal physician self-referral law, commonly known as the Stark Law. Last month’s Request…
Physicians and Teaching Hospitals Received $8.4 Billion in Payments in 2017
On June 29, the Center for Medicare & Medicaid Services (CMS) published data summarizing payments made by drug and medical device companies to physicians and…
Annual Health Care Fraud Takedown Is Biggest Ever
On June 28, the U.S. Department of Justice (DOJ) and Department of Health and Human Services Office of Inspector General (OIG) announced their annual nationwide…
CMS Announces Initiatives to Reduce Medicaid Fraud, Waste
On June 26, the Centers for Medicare & Medicaid Services (CMS) announced numerous initiatives to reduce fraud and waste in the Medicaid program. CMS Administrator…