tci Medicare Compliance & Reimbursement - 2018 Issue 11

Enforcement: Master the Big 3 to Sidestep Medicare Fraud Violations

'Knowing' means something entirely different to federal law enforcement. Providers and the laboratories they utilize must always keep in mind the three federal regulations that mandate their relationships: The Anti-Kickback Statute (AKS), the False Claims Act (FCA) and the Physician Self-Referral or Stark Law. Take a look at these basics to keep your practice out of hot water. 1. AKS: Steer Clear of Rewards for Referrals Everyone appreciates referrals, but be extremely cautious about rewarding or incentivizing them, especially if you work in close quarters with different practitioners and labs who, naturally, refer to each other. Under the AKS...

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