On April 2, the U.S. Attorney for the Western District of Texas announced that Oncology San Antonio, PA, and affiliated physicians, as well as CorePath Laboratories, PA have agreed to settle allegations of False Claims Act (FCA) violations. The settlements amount to $1.3 million and $2.7 million, respectively, resolving claims that the two entities engaged in illegal kickback practices starting August 2016. According to the government, CorePath Laboratories, a diagnostic reference laboratory, paid $115 for each biopsy referral by physicians at Oncology San Antonio, a hematology and oncology practice, to their separate private practices.

Related

OIG Issues Favorable Advisory Opinion Regarding Patient Assistance Funds

Recently, the Department of Health and Human Services Office of Inspector General (“OIG”) released Advisory Opinion (“Opinion”) 24-02 regarding patient assistance funds provided by a non-profit charitable organization (“Requestor”). This opinion marks the latest in a string of advisory opinions which have approved similar patient assistance programs (“PAPs”). As highlighted in previous advisory opinions, OIG […]

  • 0
  • 239

Senate Paper Mulls Options for Fixing Physician Pay in Fee-for-Service Medicare

Healthcare organizations seemed pleased with a Senate Finance Committee white paperopens in a new tab or window on problems with physician payment under the Medicare fee-for-service program, even though the paper was vague on some plans for addressing the issues presented.

  • 0
  • 130

Why Hospitals Are Condemning CMS’ Proposed Inpatient Payment Rule

The Centers for Medicare & Medicaid Services released a proposed rule this week that would boost hospitals’ inpatient payment rates by 2.6%. Hospitals groups have swiftly voiced their opposition to this plan, arguing that this payment update will jeopardize hospitals’ financial stability.

  • 0
  • 70

Newsletter

Never miss a thing! Sign up for our newsletter to stay updated.

About

Provider Strategy reports on market developments and insights related to the healthcare provider workforce. Our publication is committed to improving the healthcare professional workforce, utilization of providers, and ultimately supporting thought leadership in workforce innovation.

We are brought to you by the American Association of Provider Compensation Professionals.

Follow