Allegations of improper billing and kickbacks have led to a penalty of more than $2.6 million for a Connecticut medical practice and physician. United States Attorney Vanessa Roberts Avery and Connecticut Attorney General William Tong announced that Feel Well Health Center of Southington, PC, (formerly doing business as “Feel Well Health Center”) and Kevin P. Greene, M.D. … [Read more...] about Physician and medical office to pay over $2.6M for false claims and kickback allegations
Anti-kickback
CMS announces historic changes to physician self-referral regs
CMS has finalized changes to the Physician Self-Referral Law. The law prohibited physicians from making referrals to an entity, for certain health care services, if the physician had a financial relationship with the entity. The Centers for Medicare & Medicaid Services announced the changes to outdated federal regulations it says have burdened health care providers with … [Read more...] about CMS announces historic changes to physician self-referral regs
The new paradigm for physician compensation: payment for value/quality v. volume
By John McDaniel bio How will physician compensation arrangements be impacted by quality incentive payments with respect to determining Fair Market Value and commercial reasonability? The enactment of the Medicare Access and CHIP Reauthorization Act (MACRA) in November 2016 set forth future options for payment from Medicare, those being participation in the Merit‐Based … [Read more...] about The new paradigm for physician compensation: payment for value/quality v. volume
OIG Temporarily Waives Anti-Kickback Restrictions for Certain COVID-19 Physician Arrangements
As it previously did with the Stark Law, the OIG is temporarily loosening Anti-kickback Statute (AKS) restrictions to clear the way for health care arrangements during the COVID-19 emergency that would be problematic in times of normalcy. Public Health Emergency (PHE) Waiver Rules During a PHE, the OIG has discretion not to impose penalties on remuneration arrangements that … [Read more...] about OIG Temporarily Waives Anti-Kickback Restrictions for Certain COVID-19 Physician Arrangements