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CMS and OIG have published an advanced copy of proposed rules that, if enacted, would extend the existing Stark Law Exception and Anti-Kickback Statute Safe Harbor and make them applicable to the donation of electronic health records through 2016.
Orthofix's former Vice President of Sales Thomas Guerrieri pleaded guilty to paying a surgeon and a physician's assistant to continue using Orthofix's spinal-growth stimulation products.
Between healthcare reform, increased enforcement under the Anti-Kickback Statute, less patience on the part of physician leaders for underperforming surgery centers and increased pressure from payors on out-of-network arrangements, it is an interesting time to write about legal issues in the ASC sector. This article briefly discusses 10 legal issues, although any article on this subject could include many more. We hope you will find this a helpful overview of certain key legal issues being faced by surgery centers.
Published in News and Analysis
From 2001-2010, there were nearly 100 different HHS' Office of Inspector General physician self referral and kickback settlements. In just the last two years (2008-2010) there were more than 20 such settlements. At the same time, there has been an upswing of interest by hospitals and other healthcare entities to align more closely with physicians. Many of these 20 or so more recent settlements involve alleged improper attempts at aligning with physicians. Thus, a review of these settlements demonstrates a number of the tactics that hospitals and other groups are currently using to align with physicians.
Published in News and Analysis
Four physicians from Bradford (Pa.) Regional Medical Center have filed a qui tam lawsuit against the hospital and two physicians, claiming BRMC committed fraud and allegedly paid kickbacks to the physicians for nuclear cardiology services, according to a report in the Olean Times Herald.
Published in News and Analysis