This article focuses on key points in relation to the OFT process when applied to FTs and NHS trusts.
This questionnaire helps to identify the potential salary range of a physician. It assesses a physician’s work history using objective criteria like specialized certifications, research publications and leadership appointments.
This comprehensive checklist identifies information for the due diligence process in connection with a proposed transaction between two parties. The entity responsible for producing requested documents should not have to create new documents. Production requests may seem duplicative; however, this is intentional in an effort to capture all relevant materials.
Use this tool to assess existing hospital/physician relationships in order to identify potential violations of the federal Stark Law, anti-kickback law or False Claims Act (or similar state laws), which could trigger disclosure and/or repayment obligations. This tool can also be used as an aid in negotiating and drafting new agreements with physicians. While this tool was designed primarily with the Stark Law in mind, some of its questions are applicable to an anti-kickback analysis as well.
The design and operational failures of the federal insurance exchange and comparable failures of a number of state exchanges will generate contract disputes and litigations. Read on for more information.
This article is a detailed account of the Affordable Care Act. The following materials were submitted on August 28, 2013. New regulations, guidance, FAQs, and announcements may be issued after August 28, 2013, which may alter the content of some of this article.
The US Affordable Care Act (a/k/a Health Care Reform, or the ACA) is complicated. While there is nothing in the ACA that requires any employer to provide group health care coverage to its employees, the failure to do so can come with a price. The ACA is a game changer - one that requires a different approach to compliance than in the past. As with any complex law, the devil is in the details. This article contains some of the big picture strategies to consider when dealing with the ACA.
This protocol was issued to establish a process for health care providers to voluntarily identify, disclose, and resolve instances of potential fraud involving the Federal health care programs (as defined in section 1128B(f) of the Social Security Act (the Act), 42 U.S.C. 1320a–7b(f)).