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