Fraud and Abuse
The federal government has developed a series of laws to help prevent and prosecute fraud
and abuse in the Medicare and Medicaid systems. The Stark II law (aka the physician self-referral law)
and the federal anti-kickback law effect almost every relationship a physician has with other healthcare
entities, including hospitals, pharmaceutical companies, group practices, ancillary providers and other
physicians. In essence, anytime a physician receives something of value, including money, from a
healthcare entity, the fraud and abuse laws must be complied with. The materials in this area are
provided as an overview of the topic and a summary of the Washington Committee’s activities and
are in no way a substitute for professional legal advice.
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