Health Insurance Kickback Laws
Listing Websites about Health Insurance Kickback Laws
WHITE PAPER: UNDERSTANDING THE FINAL RULES …
(5 days ago) WEBDorsey & Whitney’s health care attorneys have been closely tracking the Regulatory Sprint, and more information and links to Dorsey publications on the Regulatory Sprint can be …
https://www.dorsey.com/-/media/files/healthcare/oig-anti-kickback-statute-whitepaper-010521.pdf
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HHS Clarifies Effect of Anti-Kickback Rules on Insurance Exchange
(1 days ago) WEBSpecifically, the anti-kickback regulations apply to “federal healthcare programs” that are defined to include the following: “any plan or program that provides …
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Health Care Fraud and the Anti-Kickback Statute - FindLaw
(2 days ago) WEBHealth care fraud is a growing epidemic in the U.S. that affects everyone. Health care fraud can lead to higher health insurance premiums and increased taxes. …
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Laws Against Health Care Fraud Fact Sheet - Centers …
(5 days ago) WEBfrom a Federal health care program must report and return the overpayment within 60 days of the date the overpayment was identified. Failure to do so may make the overpayment …
https://www.cms.gov/files/document/overviewfwalawsagainstfactsheet072616pdf
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Ultimate Guide to the Anti-Kickback Statute - JDSupra
(8 days ago) WEBThe short answer is, “It depends.”. As noted earlier in this Ultimate Guide to the Anti-Kickback Statute, violations present risks for both civil and criminal …
https://www.jdsupra.com/legalnews/ultimate-guide-to-the-anti-kickback-7202708/
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AHLA - Anti-Kickback Statute Toolkit - American Health Law
(8 days ago) WEBThe Anti-Kickback Statute (AKS) Toolkit collects a broad array of primary source materials concerning the AKS. The resources include: the statute; implementing …
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Overview and Compliance Resources for Anti-Kickback …
(5 days ago) WEBThe Anti-Kickback Statute prohibits knowingly and willfully offering, paying, soliciting, or receiving remuneration to induce or reward, among other things, the referral of business …
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Defining 'Referral' in the Anti-Kickback Statute - American …
(7 days ago) WEBIntroduction The Anti-Kickback Statute (AKS) 1 is one head of healthcare law’s “three-headed monster” to prevent fraud and abuse. 2 In the medical industry, …
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Federal Anti-kickback Statute Office of Inspector General
(2 days ago) WEBThe Federal Anti-kickback Statute prohibits rewarding referrals or generating Federal health care program business. This means that the law only applies …
https://oig.hhs.gov/newsroom/oig-podcasts/federal-anti-kickback-statute/
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AHLA - Key Takeaways from the AKS Final Rule - American Health …
(9 days ago) WEBKey Takeaways from the AKS Final Rule. On November 20, 2020, the Department of Health and Human Services (HHS) released the final rules 1 to amend …
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Fraud & Abuse Laws - U.S. Department of Health and Human …
(8 days ago) WEBThe Stark law prohibits the submission, or causing the submission, of claims in violation of the law's restrictions on referrals. Penalties for physicians who violate the Stark law …
https://oig.hhs.gov/compliance/physician-education/fraud-abuse-laws/
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The Anti-Kickback Statute’s Role in Health Insurance Fraud Cases
(6 days ago) WEBAlleged violations of the federal Anti-Kickback Statute (AKS) are more and more often at the heart of actions involving accusations of health insurance fraud …
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The Anti-Kickback Statute’s Role in Health Insurance Fraud Cases
(3 days ago) WEBAlleged violations of the federal Anti-Kickback Statute (AKS) are more and more often at the heart of actions involving accusations of health insurance fraud …
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Federal Register :: Medicare and State Health Care Programs: …
(5 days ago) WEBHHS's Regulatory Sprint aims to remove potential regulatory barriers to care coordination and value-based care created by four key health care laws and associated …
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Healthcare Fraud: A World Beyond the Anti-Kickback Statute
(8 days ago) WEBTraditionally, the Anti-Kickback Statute (42 U.S.C. § 1320a-7b)—alone or in conjunction with the Federal False Claims Act (31 U.S.C. § 3729 et seq. )—has been the …
https://www.jdsupra.com/legalnews/healthcare-fraud-a-world-beyond-the-5156658/
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Recommendations to protect patients and health care practices …
(3 days ago) WEBAlthough not all improper payments are fraudulent, most fraud cases violate 1 or more of these 3 statutes: the False Claims Act (FCA) of 1863, Anti-Kickback …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323645/
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Private Pay Anti Kickback Statute Changes Everything
(9 days ago) WEBPrivate Pay Anti Kickback Statute Changes Everything. by THL on November 24, 2018. In October of 2018 Congress enacted a new law that applies to …
https://www.thehealthcarelawyer.com/private-pay-anti-kickback-statute-changes-everything/
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The Gordian Knot of Health Care: Navigating Anti-Kickback Laws …
(8 days ago) WEBWhile anti-kickback laws can often seem like an intricate knot that cannot be untied, much like the famous Gordian Knot, they do not have to be immoveable …
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Medicare Fraud & Abuse: Prevent, Detect, Report - Centers …
(1 days ago) WEBThe diference between “fraud” and “abuse” depends on specific facts, circumstances, intent, and knowledge. Examples of Medicare abuse include: Billing for unnecessary medical …
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Health Insurance Portability and Accountability Act of 1996 (HIPAA)
(9 days ago) WEBThe Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that required the creation of national standards to protect sensitive patient …
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Combating Medicare Parts C and D Fraud, Waste, and Abuse …
(2 days ago) WEBlaw. The following pages provide high-level information about the following laws: • Civil False Claims Act, Health Care Fraud Statute, and Criminal Fraud • Anti-Kickback …
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Litigation and Health Care Teams Examine DOJ’s Enforcement of …
(9 days ago) WEBIn an article for Law 360, litigation & enforcement partners Doug Hallward-Driemeier and Laura Hoey, and health care counsel Alison Fethke examined how the …
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When a Gift Becomes a Kickback: Gifts from Florida Pharmacies to …
(9 days ago) WEBThe AKS is an intent-based statute with extremely harsh penalties, including fines of $25,000 per violation, prison time of five years per violation, and exclusion from …
https://www.jdsupra.com/legalnews/when-a-gift-becomes-a-kickback-gifts-3976118/
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Pharmacist Charged with Paying More Than $50,000 in Kickbacks …
(4 days ago) WEBVladimir Kleyman, 42, of Lakewood, New Jersey, the president and pharmacist in charge of Prescriptions R US—a compounding pharmacy in Lakewood—was charged with …
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State of New Jersey
(Just Now) WEBTRENTON – Attorney General Gurbir S. Grewal and the Office of the Insurance Fraud Prosecutor announced today that a Bergen County neurologist …
https://nj.gov/oag/newsreleases18/pr20180601c.html
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New Jersey Gastroenterologist Admits Taking Cash Kickbacks For …
(1 days ago) WEBNEWARK, N.J. – A physician practicing gastroenterology and internal medicine in West Orange, N.J., pleaded guilty today to receiving cash kickbacks for …
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Manhattan U.S. Attorney Announces Charges Against 36 …
(Just Now) WEBManhattan U.S. Attorney Announces Charges Against 36 Individuals for Participating in $279 Million Health Care Fraud Scheme Largest No-Fault Automobile Insurance Fraud …
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False Claims Act trends and expected enforcement priorities for 2024
(3 days ago) WEBThis article will discuss the DOJ's priorities and trends for 2024. Background. The FCA imposes liability on any company or person (typically a federal …
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Indiana M&A Law Prompts Preparation From Health-Care Providers
(4 days ago) WEBMay 20, 2024, 8:30 AM UTC. Indiana M&A Law Prompts Preparation From Health-Care Providers. Jaya White. Quarles & Brady. Randall Fearnow. Quarles & …
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Atty Says Panoramic Fired Her For Raising Compliance Issues
(9 days ago) WEBLaw360 (May 10, 2024, 9:40 PM EDT) -- Panoramic Health faces a wrongful termination suit filed Thursday in Colorado federal court by its former assistant general counsel who …
https://www.law360.com/articles/1835934/atty-says-panoramic-fired-her-for-raising-compliance-issues
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Orange County Patient Coordinator Charged with Kickback …
(9 days ago) WEBPublished on May 23, 2024. Source: U.S. Courts. An Orange County patient coordinator has been nabbed for his alleged role in shelling out tens of thousands to so …
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Central District of California Patient Coordinator for O.C. Sober
(7 days ago) WEBSANTA ANA, California – A patient intake coordinator for an addiction treatment facility in Orange County was arrested today on a federal grand jury indictment alleging …
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Relating to health care benefit managers (R 2024-02)
(6 days ago) WEBE2SSB 5213 (Chapter 242, Laws of 2024) amends state law concerning the business practices of health care benefit managers (HCBMs) and pharmacy benefit …
https://www.insurance.wa.gov/relating-health-care-benefit-managers-r-2024-02
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New law creates timeline for health insurance prior-authorizations
(1 days ago) WEBThose with chronic conditions must be notified no less than 60 days prior to changes that will affect them. If a prior authorization is denied, appeals will be reviewed …
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DIFS Director Anita Fox Issues Statement After Governor Whitmer …
(8 days ago) WEBAnyone who has questions or concerns about their health insurance coverage can contact DIFS at 877-999-6442, Monday through Friday from 8 a.m. to 5 …
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Newark Board of Education election 2024 winners raised $63,500 …
(9 days ago) WEBAlamo Insurance Group, a North Bergen firm, gave Vinhas $250. The firm had a contract with the district in 2022 for $306,000 to do health benefits consulting. Another law firm, …
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