UPIC Audits, ZPIC Audits, Medicaid Audits, Private Payor Audits, Medicare Suspensions, Revocations Actions, State Licensure Board Actions
-->

Anti-Kickback Statute


The Federal Anti-Kickback Statute, codified at 42 U.S.C. § 1320a-7(b), makes it a crime to knowingly and willfully solicit, receive, offer or pay any remuneration (anything of value, in cash or in kind) in return for: (1) referring or arranging for services payable by any Federal or state health care program; or (2) purchasing,  leasing, ordering or arranging for any goods, facilities or services that may be paid for, in whole or in poart, by Federal or state health care programs. In other words, Federal law prohibits health care providers from “buying” patient referrals or seeking out referrals by improper means. Importantly, this doesn’t just apply to physicians, but also to NPs, PAs, therapists and other health care providers. Conducting an Anti-Kickback analysis, and whether a particular arrangement meets any of the “safe harbors” established by the Federal government, is a complex process, and skilled counsel should be retained.

Liles Parker is experienced in analyzing Anti-Kickback issues as well as representing providers accused of violating the Anti-Kickback Statute by the Federal government. For a free consultation about your case, please feel free to contact us.

 

Download PDF