Physician Arrangements Fair Market Value (FMV)
The ongoing and increasing enforcement actions related to arrangements with referral sources require Compliance Officers to pay close attention to…
The Blurring Line Between The Anti-Kickback Statute And Stark Law
Struggling to understand the difference between the Anti-Kickback Statute (AKS) and Stark Laws? You are not alone. These terms are…
50 Questions to Ask When Assessing Physician Compliance Arrangements
The following is a list of questions Compliance Officers can use to assess compliance with legal requirements for physician arrangements.…
2021 Medicare Physician Fee Schedule Final Rule
The Centers for Medicare and Medicaid Services (CMS) has issued the final rule for the Calendar Year (CY) 2021 Medicare…
Regulatory Changes to Stark Law
The Centers for Medicare and Medicaid Services (CMS) announced regulatory changes to the Physician Self-Referral Law (“Stark Law”), which prohibits…
$50 Million Anti-Kickback and Stark Law Settlement
Key Points: Physician Arrangements continue to be the highest enforcement priority for the DOJ and OIG “Whistleblower” to receive $10,000,000…
Physician Arrangements Reviews Explained
Strategic Management works with health care providers and attorneys nationwide in reviewing and analyzing relationships with physicians. In the ever…
CMS Proposes Changes to the Stark Law Regulations
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to reduce the regulatory impact and burden…
Looking Beyond the End of the Physician ICD-10-CM Coding Grace Period
Key Points ICD-10-CM Grace Period The one-year-long grace period for ICD-10-CM implementation ended on October 1, 2016. This provided the…
Owners of a Mental Health Clinic Sentenced for $97 Million Medicare Fraud Scheme.
Two physician owners of Spectrum Care, P.A. (Spectrum), a community mental health clinic received a prison sentence of 148 months…
Abbott Laboratories to Pay $5.475 Million for Allegedly Paying Kickbacks to Physicians.
The Department of Justice (DOJ) announced that Abbott Laboratories (Abbott) agreed to pay $5.475 million to resolve allegations that it…
CMS Issues Article on Physician-owned Hospital Reporting Requirements for the Whole Hospital or Rural Provider Exception.
The Centers for Medicare & Medicaid Services (CMS) issued a Medicare Learning Network (MLN) Matters article regarding reporting requirements for…