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The Long Arm of the Law – Healthcare Fraud and the Travel Act

and William G. Kaufmann, Jr., JD/MBA | Published 06/18/2019
 
The Anti-Kickback Statute, Stark Law, and False Claims Act have been the primary enforcement tools used by federal prosecutors to curb healthcare fraud in the hospital sector.  These regulations have been used to focus [...]
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The Role of Valuation Firms in the Self-Disclosure Process

Author: Barbara Landy, MBA, MHS, FACHE | Published: 04/17/2019

Occasionally, healthcare entities may have the need to perform a review of their compensation arrangements with healthcare providers, which may surface compliance concerns about such arrangements.  Healthcare entities facing possible self-disclosure of violations under various [...]

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Special Fair Market Value (FMV) Considerations for International Physicians

April 02, 2019 Erica Jacobovits, JD

Author: Erica Jacobovits, JD | Published: 04/02/2019

It is a well-documented threat that the United States is currently facing a shortage of physicians, a trend which is expected to exacerbate in the near future.  According to one study conducted by the Association of American Medical Colleges (AAMC), the U.S. will face a shortage of as many as [...]

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Second Opinions Are Not Just for Patients: The Benefits of an Appraisal Review

October 09, 2018 Matthew J. Muller, ASA
Published: 10/9/2018 | Author: Matthew J. Muller, ASA
 
Last year,  we  outlined reasons  on why having an appraisal review completed may be a prudent step in the transaction process.    Healthcare t ransaction activity  during the last year   has  continue d  at a rapid pace, with buyers and sellers becoming increasingly aware of the [...]
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Dangerous Waters: When Median Benchmarks are Not a Safe Harbor - Part 3

September 27, 2018 Stephanie Tafoya
As discussed in parts one and two, both of which are hyperlinked below, median benchmarks are not an automatic safe harbor for  establishing compensation that is consistent with FMV.  It is important to understand the underlying survey data in order to keep a compensation arrangement from walking the plank.  In Part Three, learn about common [...]
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Pathways to Success: Proposed Changes to the Medicare Shared Savings Program May Impact ACO Enterprise Valuations

Published: 09/25/2018 | Authors: Hunter Outcalt, MTX, CPA and
 
On August 9, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule, referred to as “Pathways to Success,” with several proposed changes to the Medicare Shared Savings Program (“MSSP”). Currently, the majority of Accountable [...]
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