Test 5 Part 24 Flashcards
Federal Anti-Kickback Statute clearly ________ payments for patient referrals
Prohibits
Federal Anti-Kickback Statute _________ are activities that are not subject to prosecution and protect the organization from civil or criminal penalties
Safe harbors
Safe harbors investments in certain large or small _______.
entities
Safe harbors investments in entities in __________ areas
underserved
Federal Anti-Kickback Statute’s common theme is to protect certain arrangements in which commercially reasonable items or services are exchanged for ____________ compensation
Fair market value
___________ are intended to protect beneficial arrangements that would eliminate perceived barriers to the adoption of EHRs without creating undue risk that the arrangements might be used to induce or reward the generation of Federal healthcare program business
Safe Harbor for EHRs
Authorizes secretary and inspector general of HHS to impose CMPs, assessment, and program exclusions on individuals and entities whose wrongdoing caused injury to HHS programs or their beneficiaries
Up to $50,000 per violation and up to three times the amount of damages
Civil Monetary Penalties (CMP)
Federal Civil Penalties Inflation Adjustment Improvements Act of 2015, part of the Bipartisan Budget Act required federal agencies to update the level of their civil monetary penalties to account for ________, with automatic annual adjustments thereafter.
inflation
Federal Physician Self-Referral Statute is also called the _________.
The Stark Law
Prohibits physicians from ordering designated health services for Medicare patients from entities with which the physician, or an immediate family member has a financial relationship
Federal Physician Self-Referral Statute
Federal Physician Self-Referral Statute is strict _______ statue, meaning that proof of specific intent to violate the law is not required
Liability
