Articles related to Fraud and Abuse Counsel

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In-Focus Review of OIG’s Unfavorable Advisory Opinion Regarding Third-Party Portal Access Fees

[10/08/25]

U.S. v. Schena: Landmark Ninth Circuit Ruling Affirms Broad EKRA Application

[07/29/25]

Coordinated Government Effort Combats Over $14.6 Billion in Alleged Fraud as Part of the 2025 National Health Care Fraud Takedown

[07/03/25]

The Stark Law Payments by a Physician Exception: An Unsung Hero

[05/02/25]

Court Confirms Value in Obtaining Advisory Opinion from OIG

[04/28/25]

CMS Issues Guidance on Relocation of Physician-Owned Hospitals

[03/12/25]

2025 Non-Monetary Compensation to Physicians (and Chance to Review 2024)

[12/31/24]

Supreme Court Rejects Expansive “Willfulness” Application in AKS Case

[11/25/24]

OIG Greenlights Specific Arrangement Involving Gift Cards Offered by Consulting Firm to Physician Practices in New Advisory Opinion

[04/04/24]

Non-Monetary Compensation to Physicians: New Limits for 2024 and Chance to Review 2023

[12/27/23]

Scott Strickland Joins Hall Render

[03/20/23]

The End Is Near – Stark Law Blanket Waivers Set to Terminate May 11

[02/20/23]

No Surprises Act Enforcement Begins

[02/20/23]

2023 Non-Monetary Compensation to Physicians (and Chance to Review 2022)

[12/06/22]

DOJ & OIG Ramp Up Enforcement and Oversight to Combat Telemedicine Fraud

[09/15/22]

OIG “Focused” on Eye Group’s Free or Reduced-Cost CME Program

[08/02/22]

CMS Proposes Revised Process for Group Practices Self-Disclosing Stark Law Violations

[06/29/22]

Have a Plan for Planned Giving: Funds Being Donated Not a Factor in Fraud and Abuse Analysis

[02/25/22]

2022 Non-Monetary Compensation to Physicians (and Chance to Review 2021)

[12/09/21]

Higher Minimum Penalties and Other Important Updates to the OIG’s Health Care Fraud Self-Disclosure Protocol

[11/12/21]

OIG Provides Favorable Opinion and Roadmap for ASC Joint Ventures

[07/29/21]

Physician Practice Acquisition Strategy: CMS Stark Advisory Opinion Offers Additional Flexibility

[07/13/21]

Medical Groups Should Prepare Now: Changes to the Stark Law’s Group Practice Rules Are Coming

[04/30/21]

DOJ Combats COVID-19 Fraud at “Unprecedented Pace and Tempo”

[04/06/21]

Physician Arrangements Must “Pass Go” Under the Stark Law’s New Bright-Line Compensation Rules

[12/30/20]

2021 Non-Monetary Compensation to Physicians (And Chance to Review 2020)

[12/21/20]

Sprinting Toward Value: OIG Overhauls Anti-Kickback Safe Harbors to Benefit Patients and Providers

[12/07/20]

The Sprint to Value: CMS Transforms the Stark Law

[12/04/20]

The Finish Line Is Here: CMS and OIG Finalize Transformative Stark and Anti-Kickback Regulations

[11/20/20]

New OIG Special Fraud Alert Expresses Concerns Regarding Speaker Programs Now and Following the COVID-19 Pandemic

[11/19/20]

Almost to the Finish Line: Proposed Stark and Anti-Kickback Rules Await Finalization

[08/20/20]

EKRA Enforcement Developments and Moving Forward

[05/18/20]

CMS Explains Stark Waivers – Consider Any Needed Action Now

[04/24/20]

2020 Non-Monetary Compensation to Physicians (And Chance to Review 2019)

[12/23/19]

OIG Issues Guidance on Real Estate Purchase from Entity Owned in Part by Excluded Individual

[10/11/19]

CMS Makes Value the Centerpiece of Proposed Stark Rules

[10/10/19]

Sprinting Toward Value: OIG Proposes Regulations Benefiting Patients and Providers

[10/09/19]

Stakeholders Asked and CMS Listened – Agency Proposes to Modify Stark Law Advisory Opinion Process

[08/13/19]

Need a Lyft to See Your Doctor? Arizona Medicaid Will Now Cover Ridesharing Service

[08/06/19]

Paying Physicians for Quality, Value and Cost Containment: Six Steps Your Health Care Organization Can Take Right Now

[06/06/19]

DOJ Self-Disclosure and Cooperation Credit

[05/17/19]

Patient Transportation — How to Legally Get Patients in the Door

[03/27/19]

Digital Medicine: OIG Approves Arrangement to Provide Smartphones to Patients

[02/15/19]

Affordable Health Care: Patients’ Co-Pays Waived by Charitable Pediatric Clinic

[02/12/19]

Discount Disruption: PBM Rebate Protection May Be Removed, New Safe Harbors Combat Increasing Drug Costs

[02/01/19]

2019 Non-Monetary Compensation to Physicians (And Chance to Review 2018)

[12/19/18]

Department of Justice Announces Important Updates to Yates Memo Requirements

[12/07/18]

New All-Payor Kickback Statute Affects Arrangements Related to Clinical Laboratories, Recovery Homes and Clinical Treatment Facilities

[12/03/18]

OIG Approves Risk-Sharing Arrangement Furthering Shift Toward Value-Based Purchasing

[09/19/18]

Stark Regulations Proposed to Enhance Consistency and Flexibility

[07/20/18]

CMS Seeks Input on Stark Law Changes to Accelerate the Shift to Value-Based Care

[06/22/18]

OIG Approves Arrangement to Provide Free DME Samples

[06/06/18]

OIG Approves Gainsharing Arrangement for Surgical Procedures

[01/18/18]

2018 Non-Monetary Compensation to Physicians (And Chance to Review 2017)

[12/15/17]

OIG Approves Pharmaceutical Manufacturer’s Replacement Program for Spoiled Biologics

[09/06/17]

Department of Justice Announces $42 Million Settlement for Alleged False Claims Act Violations

[08/08/17]

OIG Approves Waiver of Cost-Sharing Amounts for Financially Needy Beneficiaries Participating in Clinical Research Studies

[07/18/17]

Stressful or Streamlined? CMS’s New SRDP Disclosure Form Presents New Challenges for Providers

[04/14/17]

What Did Leaders Know and When Did They Know It? New DOJ Guidance Offers Key Insights on Effective Compliance Programs

[03/09/17]

OIG Final Rule Significantly Expands Exclusion Authority

[01/19/17]

New AKS Safe Harbors Create Opportunities for Providers

[12/08/16]

Skilled Nursing Facility Chain Settles False Claims Act Case for $145 Million

[11/03/16]

U.S. Hospital Chain Settles Kickback Claims for $513 Million

[10/12/16]

CMS Issues Final Overpayment Refund Rule

[02/12/16]

Provider-Based: The Visiting Specialist Solution to CMS’s Evolving Exclusive Use Standard

[11/24/15]

CMS Issues Final Regulations for Previously Proposed Modifications to Stark Law

[11/02/15]

Doctors Beware: OIG Issues New Fraud Alert Addressing Physician Liability for Inappropriate Compensation Arrangements

[06/10/15]

OIG Provides More Exclusion Guidance Through Recent Advisory Opinion

[02/19/15]

DOJ Announces that 2014 Sets Record for FCA Recoveries and Whistleblower Lawsuits

[11/21/14]

CMS Issues Amended Final Rule Impacting Physician-Owned Hospital Expansion Requests

[11/11/14]

CMS Approves First Physician-Owned Hospital Expansion Request

[11/03/14]

CMS Extends Publication Timeline of Final Rule for Waivers in Connection with the Medicare Shared Savings Program

[10/20/14]

CMS Issues Proposed Rule Affecting Physician-Owned Hospital Expansion Requests

[07/16/14]

Urgent Reminder to Physician-Owned Hospitals: Action Required by March 1, 2014

[02/11/14]

Physician-Owned Hospitals: Addition of Unlicensed Observation Beds Does Not Increase the Hospital’s Number of Licensed Beds

[12/16/13]

Physician Bonus Structure Held to Violate the Stark Law

[11/25/13]

New Guidance for Annual Reporting Requirement for Physician-Owned Hospitals: First Annual Report Due December 1, 2013

[09/18/13]

OIG Issues Updated Guidance for Exclusions

[05/10/13]

Health System Pays Close to $4 Million to Resolve Self-Disclosed Stark Violations

[05/06/13]

OIG Issues Updated Self-Disclosure Protocol

[04/22/13]

OIG Releases Physician-Owned Entity Special Fraud Alert

[03/27/13]

CMS Publishes the Final Physician Payment Sunshine Rule

[02/20/13]

Time Equals Money: Recent Change to Medicare Overpayment Recovery Period

[01/24/13]

2013 Non-Monetary Compensation to Physicians (And Chance to Review 2012)

[12/19/12]

Missouri Health System Reaches $9.3 Million Settlement with DOJ

[11/14/12]

What’s Going on with the CMS Self-Referral Disclosure Protocol? – Recent Developments

[04/06/12]

Update: False Claims Exposure in Credentialing and Peer Review

[03/22/12]

CMS Issues Proposed Rule to Implement Statutory Obligation to Report and Return Overpayments

[02/17/12]

OIG Alert on Reassignment Raises Concern for Physicians

[02/09/12]

2012 Non-Monetary Compensation to Physicians

[12/19/11]