Tag Archives: False Claims Act

Avoiding Billing Pitfalls in the Age of the ACA

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In the second decade of the 21st century, many healthcare providers are struggling to decide whether or not to accept patients who have Medicaid. A key issue is the provider’s ability to ensure compliance with its myriad reimbursement regulations.

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The Anti-Kickback Statute: What you Don’t Know Could Hurt you

With the sweeping changes made by healthcare reform law, the provisions which amend the federal Anti-Kickback Statute have not received widespread attention. However, these provisions clarify that a violation of the Anti-Kickback Statute constitutes a false or fraudulent claim and could have far reaching effects for physicians.

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A Stark Case: Happy Ending or Inauspicious Beginning?

By: Charles B. Oppenheim, Robert L. Roth, and Patricia H. Wirth The federal government sued Joseph Campbell, M.D. for alleged false claims submitted not by Dr. Campbell, but by a hospital. Dr. Campbell had an employment contract with the hospital for 20 hours of service per week. However, although Dr. Campbell did everything the hospital […]

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