Pfizer’s Bid to Help Pay Deductibles and Copays for a New Drug Denied Because the Bid Violates the AKS

A federal court and an appellate court ruled that Pfizer’s attempts to help patients with copay and deductible payments violates the AKS even if Pfizer acted with good intent.

Integrative Medicine and Nutrition – Compliance Issues

Physicians, dieticians, and nutritionists who use integrative medicine need to understand the unauthorized practice of medicine laws and other compliance requirements.

The New Stark and AKS Laws

Physicians and medical practices should review their MSO and referral arrangements to help comply with the new Stark Law and AKS changes.

Compliance Issues for Durable Medical Equipment Companies

Durable medical equipment companies need to review the Anti-Kickback Statute, Stark Law, HIPAA, CMS requirements, and other federal and state requirements before marketing their business.

Exceptions and Alternatives to The Corporate Practice of Medicine

California has a strict corporate practice of medicine law. Physicians should consider a professional medical corporation. Doctors need to be aware of Stark Law and the AKS. An MSO may be advisable.

Health Compliance Issues for Dentists and Orthodontists

Dentists need to understand how Stark Law and the AKS affect their referral arrangements. Dentists need to understand corporate practice of medicine, FDA, FTC, and other compliance issues.

What Medical Practices and Healthcare Businesses Need to Understand about the “Reasonable Medical Necessity” Test

Physicians and other healthcare providers and companies that submit bills for medical services may be subject to Stark Law, AKS, and False Claims Act charges

OIG Advisory Opinion Regarding Possible AKS Violations. Part Two.

OIG advisory opinion provides that payments for travel, lodging, and other costs related to a drug infusion treatment should not violate the federal Anti-Kickback Statute

Ambulatory Surgery Center (ASC) Compliance Issues

Ambulatory surgery centers are attractive to doctors and patients due to reduced wait times, better control over infections, and other reasons – provided the ASCs do not violate the AKS or Stark Law.

Why the False Claims Act Affects Your Medical Practice

Violations of the AKS and Stark Law are usually violations of the False Claims Act. Penalties can include treble damages and exclusion from Medicaid and Medicare Payments