Introduction
The Federal Anti-Kickback Statute (42 U.S.C. 1320a-7(b)) restricts suppliers of goods or services secured by a government healthcare program ("Federal Healthcare Program") from intentionally and readily requesting or accepting or giving any compensation, directly or indirectly, in trade or in kind, to actuate either the referral of an individual, or outfitting or orchestrating a good or service for which imbursement may be made under a Federal Healthcare Program. The Federal Anti-Kickback Statute is a goal based statute.
Certain dealings and engagements are statutorily absolved from the Federal Anti-Kickback Statute (e.g., remuneration paid in accordance with a legitimate employment relationship). Furthermore, dealings and engagements that go along completely with established Safe Harbor regulations shall not be arraigned under the Federal Anti-Kickback Statute. Essentially, notwithstanding, a transaction or engagement that does not meet all the necessities of a Safe Harbor regulation is not fundamentally illicit.
The Federal Anti-Kickback Statute is a criminal statute and the punishments for infringement of the law can be serious. They incorporate fines of up to $25,000 for every infringement, crime conviction deserving of detainment up to five years, or both, and in addition conceivable avoidance from cooperation in Federal Healthcare Programs.
Discussion
Fraud is defined as a …show more content…
The money lost due to transferring a patient includes a possible hospital stay, diagnostic testing, possible surgery charges, etc. If this money outweighs what it would cost to somehow secure specialty coverage, management should look further into the issue.
Rules and
The Federal Anti-Kickback Statute (42 U.S.C. 1320a-7(b)) restricts suppliers of goods or services secured by a government healthcare program ("Federal Healthcare Program") from intentionally and readily requesting or accepting or giving any compensation, directly or indirectly, in trade or in kind, to actuate either the referral of an individual, or outfitting or orchestrating a good or service for which imbursement may be made under a Federal Healthcare Program. The Federal Anti-Kickback Statute is a goal based statute.
Certain dealings and engagements are statutorily absolved from the Federal Anti-Kickback Statute (e.g., remuneration paid in accordance with a legitimate employment relationship). Furthermore, dealings and engagements that go along completely with established Safe Harbor regulations shall not be arraigned under the Federal Anti-Kickback Statute. Essentially, notwithstanding, a transaction or engagement that does not meet all the necessities of a Safe Harbor regulation is not fundamentally illicit.
The Federal Anti-Kickback Statute is a criminal statute and the punishments for infringement of the law can be serious. They incorporate fines of up to $25,000 for every infringement, crime conviction deserving of detainment up to five years, or both, and in addition conceivable avoidance from cooperation in Federal Healthcare Programs.
Discussion
Fraud is defined as a …show more content…
The money lost due to transferring a patient includes a possible hospital stay, diagnostic testing, possible surgery charges, etc. If this money outweighs what it would cost to somehow secure specialty coverage, management should look further into the issue.
Rules and