Tuesday, December 22, 2020
On Nov. 20, 2020, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS) issued two final rules, which implement changes to the Physician-Self Referral Law (Stark Law) and the Anti-Kickback Statute (AKS) regulations (respectively the OIG Final Rule and the CMS Rule, collectively the Final Rules).
To meet the definition of a “Group Practice,” providers must satisfy a number of conditions related to the structure and operations of their practice including how profits and productivity bonuses are distributed
[1]. The Final Rule issued by Centers for Medicare and Medicaid Services (CMS) on Nov. 20, 2020, clarifies how profits can be distributed among physicians who are members of a qualifying group practice.
The partially physician-owned hospital allegedly required the physician owners “to satisfy the Heart Hospital s yearly 48 patient-contact requirement in order to maintain ownership in the hospital.”
Texas Heart Hospital of the Southwest, LLP and its wholly owned subsidiary, THHBP Management Company, LLC, have agreed to pay $48 million to the United States to resolve claims that the company violated the False Claims Act, the Department of Justice (DOJ) announced Friday.
The two organizations, collectively known as the Heart Hospital were alleged to have knowingly submitting claims to the Medicare program that “resulted from violations of the Physician Self-Referral Law and the Anti-Kickback Statute, the release stated.
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TEXAS HEART HOSPITAL AND WHOLLY-OWNED SUBSIDIARY THHBP MANAGEMENT COMPANY, LLC TO PAY $48 MILLION TO SETTLE FALSE CLAIMS ACT ALLEGATIONS RELATED TO ALLEGED KICKBACKS The Gilmer Mirror
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TEXAS HEART HOSPITAL AND WHOLLY-OWNED SUBSIDIARY THHBP MANAGEMENT COMPANY, LLC TO PAY $48 MILLION TO SETTLE FALSE CLAIMS ACT ALLEGATIONS RELATED TO ALLEGED KICKBACKS
WASHINGTON – Texas Heart Hospital of the Southwest LLP, a partially physician-owned hospital in Plano, Texas, and its wholly owned subsidiary, THHBP Management Company LLC (collectively, the “Heart Hospital”) have agreed to pay the United States $48 million to resolve claims that the Heart Hospital violated the False Claims Act by knowingly submitting claims to the Medicare program that resulted from violations of the Physician Self-Referral Law and the Anti‑Kickback Statute, the Justice Department announced today.
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On December 2, 2020, the Centers for Medicare and Medicaid Services (“CMS”) finalized sweeping changes to the federal Physician Self-Referral Law, commonly known as the Stark Law. Many of the changes reflect CMS’ intent to allow greater flexibility to address certain value-based compensation arrangements. However, at least one change may materially impact how physician group practices allocate profits from Stark Law designated health services (“DHS”).
By way of background, the Stark Law prohibits a physician owner or physician employee of a medical practice from ordering DHS from the medical practice paid by Medicare or Medicaid, unless a Stark Law exception applies. DHS includes, among other items, clinical laboratory services, physical, occupational and speech therapy, certain imaging services, radiation therapy, durable medical equipment, and outpatient prescription drugs. Under the Stark Law, a medical pract
Texas Heart Hospital and Wholly-Owned Subsidiary THHBP Management Company LLC to Pay $48 Million to Settle False Claims Act Allegations Related to Alleged Kickbacks justice.gov - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from justice.gov Daily Mail and Mail on Sunday newspapers.