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Changes in the Stark Law

Many physicians are familiar with Stark Law, which prohibits a physician from referring a Medicaid or Medicare patient to a health care entity where the physician or their family has a financial interest. With a goal of reducing healthcare fraud and abuse, the law sets forth technical compliance requirements. Also known as the Physician Self-Referral […]

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Pennsylvania’s Medical Marijuana Law Presents Challenges to Physicians

In 2016, Pennsylvania passed Act 16, which legalized the use of medical marijuana in the state. Under Act 16, the Pennsylvania Department of Health (DOH) has the authority to issue licenses to those that grow medical marijuana and operators of medical marijuana dispensaries. Pennsylvania’s Medical Marijuana Program To participate in Pennsylvania’s Medical Marijuana Program, patients […]

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Charitable Donations Do Not Result in Liability Under False Claims Act

The U.S. Court of Appeals for the Third Circuit recently held that charitable donations found in violation of anti-kickback statutes do not necessarily provide the grounds for liability under the False Claims Act (FCA). According to the ruling, without additional evidence that the alleged kickback was tied to a specific claim for payment, violators of […]

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Kmart Pays $32 Million for Overbilling Federal Health Programs

National retail giant, Kmart Corporation, recently agreed to pay the United States $32.3 million to settle allegations that in-store pharmacies overcharged federally-funded health care programs for generic drugs. The settlement stems from a 2008 False Claims Act lawsuit filed by an Ohio pharmacist, who stands to receive more than $9 million for his portion of […]

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Racism Causing Concerns in the Healthcare Industry

While our society is adapting to change and becoming more open to differences, discrimination due to racial and sexual differences is still a cause for concern in the healthcare industry. Although physicians work tirelessly to treat and provide for patients of all backgrounds, the same cannot be said of patients, who have blatantly lashed out […]

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Credential Registry

Credential Engine, a non-profit organization, has launched a centralized data platform that it hopes will help all medical professionals better understand what credentials are available. The platform, Credential Registry, gathers data from multiple sources, including degrees, certificates, badges, apprenticeships, licenses, micro credentials, and PhDs. The nonprofit debuted its platform at an event attended by higher […]

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New Medical Pilot Program May Prevent Medical Kickbacks  

Medical practitioners and health care professionals that conduct business to receive propositions and payment in the form of kickbacks are violating anti-kickback laws in place at federal, state, and local levels. While partnerships with pharmaceutical companies are one of the biggest violators in compliance with physicians and hospitals, the Department of Health and Human Services […]

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What Doctors Should Know About Non-Compete Clauses

A professional should know about the complexities of non-compete clauses because they are to be read and analyzed carefully before signing. Often, physicians feel they have little leverage in their employment negotiations, especially when they do not have professional contacts. Information in an employment contract can be negotiated, and it is a professional’s responsibility to […]

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Corporate Whistleblower Center Rewards Doctors

The Corporate Whistleblower Center is a watchdog group that works to help whistleblowers make their case against organizations committing fraud and other crimes. The group recently announced a call-to-action for doctors and physician groups that included hints of million-dollar rewards for turning in Stark Law violators. The violators of interest to the Corporate Whistleblower Center […]

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Defending a Medical Malpractice Claim

Doctors train for years and strive to provide the best possible care for their patients. However, even with the best intentions and quality of care, medical malpractice claims occur. In fact, a doctor may do nothing wrong and still face a medical malpractice lawsuit. When a suit does occur, certain physicians do not know what […]

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