Posts tagged fraud
No Significant Fraud: CMS findings relieve concerns over Medicare Telehealth during COVID
No Significant Fraud: CMS findings relieve concerns over Medicare Telehealth during COVID

Discover what the OIG found when investigating telehealth billing fraud, what they recommend regarding future CMS oversight, and four takeaways for businesses billing Medicare telehealth services.

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Digital Health, Fraud and Abuse, Medical Practice, Medicare, OIG, Physician Fee Schedule, Regulations, Reimbursement, Remote Monitoring, Telehealth, Virtual Care, Virtual Care ManagementFaisal Khantelehealth, virtual care managemet, remote monitoring, oig, cms, fraud, Medicare claims, billing, risk management, audits, investigations, regulation
Can Biotech and Pharma Companies pay contracted sales teams a commission-based fee?
Can Biotech and Pharma Companies pay contracted sales teams a commission-based fee?

The U.S. Department of Justice (DOJ) just sent a strong message to pharmaceutical and biotechnology companies who rely on contracted sales teams to push their products into the market: “commission-based compensation violates the Federal Anti-Kickback Statute (AKS)”.

This message seems to undermine years’ worth of relative stability in how these companies evaluate risks associated with commission-based compensation that does not fit squarely into a legal safe harbor under the AKS.

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Life Sciences, LegislationTommy Millerbiotech, pharma, sales, fraud, aks