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Author: Geoffrey Kaiser Publisher: ISBN: 9781639053599 Category : Medicaid fraud Languages : en Pages : 0
Book Description
"The Federal Anti-Kickback Statute and Safe Harbors is a comprehensive reference book for one of the nation's most commonly cited, investigated and enforced health care fraud and abuse laws. The book offers practical guidance to health care attorneys in understanding the law's origin, purpose and requirements"--
Author: Geoffrey Kaiser Publisher: ISBN: 9781639053599 Category : Medicaid fraud Languages : en Pages : 0
Book Description
"The Federal Anti-Kickback Statute and Safe Harbors is a comprehensive reference book for one of the nation's most commonly cited, investigated and enforced health care fraud and abuse laws. The book offers practical guidance to health care attorneys in understanding the law's origin, purpose and requirements"--
Author: Thomas S. Crane Publisher: American Bar Association ISBN: 9781627228763 Category : Law Languages : en Pages : 69
Book Description
Learn how the Anti-Kickback Statute protects the healthcare system and beneficiaries from the influence of money on referral decisions.
Author: Terry L. Leap Publisher: Cornell University Press ISBN: 0801461286 Category : Medical Languages : en Pages : 253
Book Description
U.S. health care is a $2.5 trillion system that accounts for more than 17 percent of the nation’s GDP. It is also highly susceptible to fraud. Estimates vary, but some observers believe that as much as 10 percent of all medical billing involves some type of fraud. In 2009, New York’s Medicaid fraud office recovered $283 million and obtained 148 criminal convictions. In July 2010, the U.S. Justice Department charged nearly 100 patients, doctors, and health care executives in five states of bilking the Medicare system out of more than $251 million through false claims for services that were medically unnecessary or never provided. These cases only hint at the scope of the problem. In Phantom Billing, Fake Prescriptions, and the High Cost of Medicine, Terry L. Leap takes on medical fraud and its economic, psychological, and social costs. Illustrated throughout with dozens of specific and often fascinating cases, this book covers a wide variety of crimes: kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient and pill-mill schemes, insurance scams, short-pilling, off-label marketing of pharmaceuticals, and rebate fraud, as well as criminal acts that enable this fraud (mail and wire fraud, conspiracy, and money laundering). After assessing the effectiveness of the federal laws designed to fight health care fraud and abuse—the antikickback statute, the Stark Law, the False Claims Act, HIPAA, and the food and drug laws—Leap suggests a number of ways that health care providers, consumers, insurers, and federal and state officials can bring health care fraud and abuse under control, thereby reducing the overall cost of medical care in America.
Author: Michael Volkov Publisher: Ethics 360 Media ISBN: 9789810898458 Category : Bribery Languages : en Pages : 178
Book Description
Michael Volkov's career has spanned 30 years as an attorney in Washington, D.C. - as a federal prosecutor, a Chief Counsel on the Senate and House Judiciary Committees, a trial attorney in the Antitrust Division and in private practice. This book will help anyone better understand anti-bribery compliance in the U.S. and beyond. "Michael Volkov's book is a compilation of articles on a number of subjects important to lawyers advising clients how to stay out of trouble. He is a prolific writer and I can say without question, we have not heard the last of his musings. Simply put, his book contains important information that should prove helpful to lawyers, particularly to those who practice in the white collar field." - Judge Stanley Sporkin, Former Director of the Division of Enforcement, U.S. Securities and Exchange Commission.
Author: American Medical Association. Council on Ethical and Judicial Affairs Publisher: American Medical Association Press ISBN: Category : Medical Languages : en Pages : 60
Book Description
Ethics in the era of managed care This collection of AMA Council Reports from 1990 to 1997 examine a variety of ethical issues concerning managed care. Report topics include financial incentives to limit care, cost containment involving prescription drugs, restrictions on disclosure in managed care contracts, ethical issues in negotiating discounts for specialty care, capitation, and more. An analysis of current issues in medical ethics is also included.
Author: Publisher: ISBN: 9781627228770 Category : Languages : en Pages :
Book Description
The federal Anti-Kickback Statute (AKS) is one of the best-known federal fraud and abuse statutes, due largely to its wide-ranging effects on business relationships in the health care, pharmaceutical, and medical device sectors. This primer explains how AKS is a criminal statute that prohibits transactions intended to induce or reward referrals for items or services reimbursed by the federal health care programs. It further details the anti-corruption statute and how it is designed to protect federal health care program beneficiaries from the influence of money on referral decisions and thus is intended to guard against overutilization, increased costs, and poor quality services. Chapters include: 0́Ø Overview of the Anti-Kickback Statute and Its Purpose 0́Ø Statutory Exceptions and Safe Harbors to the Anti-Kickback 0́Ø Statute 0́Ø Fraud and Abuse Waivers 0́Ø Sources of Guidance 0́Ø Related Statutes
Author: Aspen Health Law Center Publisher: ISBN: Category : Business & Economics Languages : en Pages : 156
Book Description
Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.