Month: August 2018

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What Health Care Providers Need to Know about the Anti-Kickback Statute Safe Harbors

The Anti-Kickback Statute (AKS) prohibits health care providers from paying or receiving compensation for referrals involving federal program beneficiaries. However, the AKS “safe harbors” scale back the statute’s broad prohibitions in many circumstances. For health care providers who bill Medicare,...Read More

Glossary: What Health Care Providers Need to Know about Federal Fraud Investigations

As a health care provider, facing a federal fraud investigation can be a trying experience. Here are explanations of some of the key terms you are likely to encounter during the government’s inquiry. Similar to medicine, the field of health...Read More

Can a Qui Tam Lawsuit Lead to Federal Criminal Charges?

The qui tam (or “whistleblower”) provisions of the False Claims Act serve an important role in the government’s fight against fraud. Unfortunately, they are often abused. And they can expose health care providers and other businesses to significant civil and...Read More

7 Defense Strategies to Prevent a Health Care Fraud Investigation from Leading to Criminal Charges

When facing a federal health care fraud investigation, your number one priority must be to prevent the investigation from leading to criminal charges. Depending upon the circumstances involved, here are seven defense strategies you may have available. As a health...Read More

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