Anti-Kickback Statute

President Biden. (Photo by Anna Moneymaker-Pool/Getty Images)

Feb 01 | Jeff Lagasse

UPDATED: Trump-era rebate rule for Medicare Part D on hold until 2023

The parties have been ordered to submit a joint status report identifying whether and how this case should proceed by…

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Dec 22, 2020 | Susan Morse

Department of Justice sues Walmart alleging unlawful opioid dispensing

Pharmacists are in the untenable position of being held liable for a doctor's prescription, Walmart said in its…

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CMS changed Stark Law regulations on Friday.

Nov 21, 2020 | Susan Morse

CMS finalizes changes to Stark Law that hinder physician referral

The old federal regulations burdened providers with added administrative costs and fear of financial consequences, CMS…

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On Friday, HHS issued a final rule ending PBM rebates to insurers.

Nov 21, 2020 | Susan Morse

HHS issues final rule ending pharmacy benefit manager drug rebates to insurers

Opponents say the rule will not lower drug prices, and some question whether it is legal, having bypassed the…

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Feb 19, 2020 |

More than $2 billion in fraud recoveries collected from healthcare companies last year

Providers warned to stay vigilant as financial and political incentives remain strong to bring False…

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Dec 11, 2019 | Jeff Lagasse

Telehealth laws and regulations in 2019 have set the stage for increased access and use

As the care delivery platform becomes more legitimate and accepted, governments, payers and providers…

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Oct 09, 2019 | Susan Morse

HHS and CMS are offering safe harbor to Stark Law to promote value-based, coordinated care

Example of changes is allowing a hospital to donate free cybersecurity software to each physician…

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Mar 19, 2019 | Jeff Lagasse

Getting paid for remote and virtual care services: CPT codes to know and understand

Until November, reimbursement for remote patient monitoring services was a gray area for providers, but…

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Jan 31, 2019 | Susan Morse

Health and Human Services wants to end 'middlemen kickbacks' in drug pricing by targeting rebates

Under the proposal, drugs would be chosen that have the lowest price, not the ones that…

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Jan 29, 2019 | Jeff Lagasse

Physicians ask Senate Finance Committee to address kickbacks, other factors driving up drug costs

The AAPS recommended a number of specific solutions, including ending the safe harbor to the…

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Featured Resources

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to learn strategies that increase patient ...

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Pharmacy giants share how to navigate vaccinations

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News

Healthcare M&A's down in 2020 but analysts say COVID-19 is a catalyst for future deals Forty-four percent of healthcare CFOs say the pandemic will drive an increase in partnerships across the healthcare ecosystem.

HHS extends COVID-19 public health emergency declaration until April This action marks the fourth time HHS has extended the declaration that has paid parity for telehealth and continues reporting waivers.

CMS issues final rule on healthcare technology access for seniors The rule is meant to ease undue burden for innovators and speed access to potentially lifesaving technologies.

Whitepapers

Clinical Quality Measures 101 Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report ...

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