BC Advantage - 2023 Issue 8
If Conduct Appears to Buck the Legal Norm, Chances Are That It Does
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Article Overview
This article reviews healthcare fraud and abuse enforcement through the lens of the Anti-Kickback Statute and the False Claims Act. It explains why these issues matter to providers, entities, compliance teams, and whistleblowers, and it summarizes general statutory background, related federal agency activity, and selected settlement and enforcement examples discussed in the article.
Why This Topic Matters
It helps readers understand the compliance significance of kickback-related conduct in federal healthcare programs and why such conduct can trigger government investigations, whistleblower actions, and civil liability.
Article Sections
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Analysis
Background on federal anti-kickback and false claims enforcement, including statutory context, agency perspectives, and broader compliance implications.
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Conclusion
A brief wrap-up emphasizing the visibility of problematic conduct, the role of enforcement and whistleblowers, and the importance of compliance awareness.
What You Will Learn
- The general relationship between anti-kickback issues and false claims exposure
- How federal enforcement agencies describe healthcare fraud and abuse concerns
- The types of healthcare business arrangements and allegations discussed in recent enforcement activity
- Why compliance programs and whistleblower reporting are relevant in this area
Who Should Read This
- Healthcare compliance professionals
- Medical practice administrators
- Providers and facility leadership
- Health law attorneys
- Whistleblowers and relators
- Revenue cycle and billing professionals
Codes Discussed
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