HC Compliance Essentials

Do My Physician’s SNF Claims Violate Stark Laws?

What’s the road to compliance when a SNF’s medical director also bills fee-for-service? Question: My physician is the medical director for a skilled nursing facility and receives a stipend from the SNF for that service. Can he still bill for…

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J&J PowerPoint Kickback Case Lesson: Keep Those Intentions Clean!

3 precautions every provider should take when presenting finanicials. The feds continue to hassle Johnson & Johnson and Omnicare for their financial relationship, and now they’ve got a PowerPoint presentation to add to their contention that…

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8 Compliance Tips for Health Care Joint Ventures

Photo: German Federal Archives, Wikimedia Commons Nursing home/hospice ventures prove especially tricky. Pooling resources with a nursing home or other provider to create a new hospice venture might seem like a great…

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DOJ: 2 SNF Chains & Their Principles Named In Omnicare, Risperdal Complaint

At issue: The antipsychotic drug Risperdal & fair market value. Last week, the Department of Justice announced that nation’s largest nursing home pharmacy, Omnicare Inc., will pay $98 million to settle False Claims Act allegations. IVAX Pharmaceuticals (now a subsidiary of…

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Does Our Hospice Outreach & Marketing Violate Anti-Kickback?

Question: Our health system has hospice, and the marketing and sales folks reach out to referral sources like home health agencies and nursing homes. How do we know when these outreach efforts cross the compliance line? Answer: Stepping up to…

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