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Physician Compensation in the FCA Crosshairs

By Anna Grizzle & Lauren Gaffney on September 30, 2015
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What do the recent multimillion dollar FCA settlements tell healthcare providers about physician compensation arrangements? Standing alone, these settlements are cautionary examples of arrangements that may subject hospitals and physicians to increased scrutiny. These settlements, however, come on the heels of the recent OIG fraud alert – “Physician Compensation Arrangements May Result in Significant Liability,” and highlight the need for healthcare providers to proactively review physician arrangements for compliance with Stark and the Anti-Kickback Statute. For further discussion of the issues raised by these settlements and suggested tips for healthcare providers evaluating physician arrangements, please see this recent article, “Under the Knife: Enforcement Actions Increase Scrutiny on Physician Compensation Arrangements.”

Photo of Anna Grizzle Anna Grizzle

With over 20 years of experience, Anna helps healthcare clients address enforcement and compliance issues and respond to legal and regulatory violations. With significant experience in defending against statistical sampling and extrapolation and claims denials in Medicare and Medicaid claims audits, Anna also…

With over 20 years of experience, Anna helps healthcare clients address enforcement and compliance issues and respond to legal and regulatory violations. With significant experience in defending against statistical sampling and extrapolation and claims denials in Medicare and Medicaid claims audits, Anna also has saved healthcare companies tens of millions of dollars in potential overpayment demands.

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Photo of Lauren Gaffney Lauren Gaffney

For hospital systems, home health and hospice, physician groups, dental organizations and other healthcare providers, Lauren Gaffney analyzes and counsels clients on the regulatory requirements and operational impacts related to day-to-day operations, including those related to fraud and abuse.   Lauren also focuses on…

For hospital systems, home health and hospice, physician groups, dental organizations and other healthcare providers, Lauren Gaffney analyzes and counsels clients on the regulatory requirements and operational impacts related to day-to-day operations, including those related to fraud and abuse.   Lauren also focuses on internal investigations, which involve responding to governmental inquiries regarding potential regulatory, compliance and clinical issues.

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  • Posted in:
    Health Care and Life Sciences
  • Blog:
    Inside the False Claims Act
  • Organization:
    Bass, Berry & Sims PLC
  • Article: View Original Source

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