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Anti-Kickback Qui Tam Cases

Kickbacks are hidden financial arrangements between a person and an organization. Usually, these types of cases involve fraud in the healthcare system and can come in several forms. However, one basic principle is in every kickback case – the healthcare provider will provide some sort of benefit in return for other providers to prescribing or using that provider’s services or products. Kickbacks are usually considered illegal. The doctor or healthcare provider should be using their own opinions on a patient’s treatment and not be swayed by financial gain. Federal laws, such as the Anti-Kickback Statute and the Stark Statute, prohibits kickbacks because it can lead to unnecessary treatment or the use of expensive products. Because of these actions, higher costs are given to patients, their insurances, Medicare, and Medicaid. Federal Laws Prohibiting Kickbacks The Anti-Kickback Statute – According to this law, a company is considered to have committed fraud when it offers healthcare providers, such as doctors or hospitals, financial incentives to use that company’s products or services. The payment is made under Medicare, Medicaid, or other federally funded healthcare programs. The kickback doesn’t necessarily have to be money exchanging hands; it can come in items of monetary value such […]

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