DecisionHealth, DecisionHealth - 2015 Issue 3 (March)

Court expands definition of ‘referral,’ upholds conviction of gatekeeper doc

The stakes for payment arrangements or other deals with providers that also treat your patients just got higher. The U.S. Court of Appeals for the Seventh Circuit has upheld the conviction of a doctor for certifying patients for home care services — even though he didn’t direct the patients to the agency that was paying him.

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