Regulatory References

SOURCES:  CMS/HHS/OIG 

Stark Law - 42 C.F.R. § 1395nn - click to view

   

Fair Market Value (FMV) - 42 U.S.C. § 1008 - See Anti-Kickback Statute (AKS)

Anti-Kickback Statute (AKS) - 42 U.S.C. § 1320a-7b(b) - click to view

CMS CoP for Hospitals - 42 CFR Part 485 - click to view

RoP Phase 3 - 42 CFR, §§ 483.12, 483.70, 483.75 - click to view

CMS CoP for LTC’s - 42 CFR Part 483 - click to view

 

CoP for Rehab/PT - 42 CFR  §485.50-74 - click to view

                 

CoP ASC’s - 42 CFR 416 - click to view

CoP for ESRD (Dialysis) - ESRD CfCs1976 - click to view

CoP for Hospice - 42 CFR 418.3, 418.52-116 - click to view

CoP for Home Health - 42 CFR 484.1- 484.55 - click to view

 

HITECH Act PHI/PII - 45 CFR 164.400 414 - click to view

 

Post Award Grants - 45 C.F.R. § 75 - click to view

HHS Makes Stark Law and Anti-Kickback Statute Reforms to Support Coordinated, Value-Based Care - click to view 

SOURCE:  DOJ

                                           

False Claims Act - 31 U.S.C. §§ 3729 – 3733 - click to view

West Virginia Hospital Agrees To Pay $50 Million To Settle Allegations Concerning Improper Compensation To Referring Physicians - click to view

San Diego Laboratory Admits Fraudulent TRICARE Billing; Agrees to Pay $49 Million - click to view

Wisconsin-Based Nonprofit To Pay $1.9 Million To Settle Allegations Of False Claims And Kickbacks On Federal Contracts For Blind Workers - click to view

 

Medical Device Maker Merit Medical To Pay $18 Million To Settle Allegations Of Improper Payments To Physicians click to view

Medtronic to Pay Over $9.2 Million To Settle Allegations of Improper Payments to South Dakota Neurosurgeon click to view

Illinois-Based Charter School Management Company To Pay $4.5 Million To Settle Claims Relating To E-Rate Contracts - click to view

United States Attorney Mike Stuart Announces Healthcare Fraud Settlement for Over $1.2 Million - click to view

Owner of Durable Medical Equipment Companies Admits Role in $16 Million Dollar Kickback Scheme click to view

Home Health Agency and Former Owner to Pay $5.8M to Settle False Claims Act Allegations  - click to view

Texas Heart Hospital and Wholly-Owned Subsidiary THHBP Management Company LLC to Pay $48m to Settle False Claims Act Allegations Related to Alleged Kickbacks  - click to view

SOURCE:  Joint Commission

Joint Commission RLD - LD 04.03.09 - click to view

 

 

SOURCE: DNV

DNV GL - GB.3 - click to view