Tag Archive | "Stark"
Don’t Let Financial Ties to Manufacturers Create Legal Woes
Transparency of prescriber-supplier relationships is increasing. With the new health care reform law in place, the feds will soon be able to take a harder look at financial relationships between physicians and companies that make drugs, biologics, medical devices and…
Continue reading...New Health Care Reform Law Alters Stark “In-Office” Exception
Thursday, April 8, 2010
The new health care reform laws are on the books, and physicians should be aware that some of the exceptions to the Stark law have changed. One change concerns how to qualify for the “in-office exception,” which is addressed by…
Continue reading...Do My Physician’s SNF Claims Violate Stark Laws?
Monday, February 1, 2010
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…
Continue reading...J&J PowerPoint Kickback Case Lesson: Keep Those Intentions Clean!
Monday, February 1, 2010
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…
Continue reading...15-Bed Hospital, Physician Settle Medical Necessity Qui Tam Case
Monday, January 11, 2010
Faulty physician documentation was an Achilles heel in the case. Three patients who stayed multiple days in Wheaton Community Hospital in Wheaton, MN as inpatients — yet received only oral pain meds and PT during their hospital stays — is an…
Continue reading...Don’t Forget Patient, Non-Doc Gifts In Your Compliance Efforts
Monday, November 30, 2009
Use the anti-kickback statute to guide you. When it’s time to spread holiday cheer, many providers like to include patients or other nonphysician referral sources in their gift-giving. But you’d better be careful, or you could end up…
Continue reading...Incentivize Docs to Adopt EHR — & Still Comply with Stark
Monday, November 23, 2009
One hospital system is taking the plunge on EHR standardization and spending millions to incentivize its physicians to adopt the program — and officials there remembered to check Stark law. The North Shore-LIJ Health System announced in…
Continue reading...Health Care Referrals: Avoid Holiday Gift-Giving Landmines With These 7 Steps
Monday, November 23, 2009
Santa? A whistleblower? Writing this message on a gift card could cause your very own Compliance Nightmare before Christmas. The holidays can present one of the biggest compliance hazards to health care…
Continue reading...COMPLIANCE TRENDS: Covenant Case Holds Stark Reminders for Hospitals, Physicians
Monday, November 2, 2009
Don’t rely overly on the employment exception — or discount a competitor’s ability to stir up trouble. Covenant Medical Center in Waterloo, Iowa, recently agreed to fork over a hefty $4.5 million to settle a federal False Claims Act lawsuit involving alleged…
Continue reading...How One Hospital’s Physician Gifts Ran Afoul of Stark
Monday, October 12, 2009
One lesson learned: A central tracking system can flag multiple gifts. Your hospital can learn a lot from the mistakes of others, especially when it comes to the slippery Stark rules. On June 26, 2009, the…
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Monday, May 10, 2010
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