The CMS proposed regulation issued on October 17, 20191 provides much needed clarity on the question of when compensation is deemed to vary with the volume or value of referrals or other business generated between the...more
Please see full publication below....more
10/11/2016
/ Acquisitions ,
Affordable Care Act ,
Anti-Kickback Statute ,
Antitrust Investigations ,
Corporate Counsel ,
Due Diligence ,
False Claims Act (FCA) ,
Fee-for-Service ,
Health Care Providers ,
Hospitals ,
Joint Venture ,
Mergers ,
Provider Payments ,
Stark Law ,
Value-Based Payments ,
Venture Capital
The first case to interpret when the clock begins to run on the “60-Day Rule” did not go well for health care providers. On August 3rd, the Southern District of New York rejected defendants HealthFirst, Inc.’s and Continuum...more
In what may be the penultimate chapter of the long–running saga of the Tuomey case, the Fourth Circuit affirmed the final judgment and award in favor of the government in its case against Tuomey Healthcare System, Inc....more
7/27/2015
/ Appeals ,
False Claims Act (FCA) ,
Health Care Providers ,
Hospitals ,
Medicare ,
Non-Compete Agreements ,
Nonprofits ,
OIG ,
Physicians ,
Qui Tam ,
Stark Law ,
Treble Damages ,
Tuomey