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How did a clerkship with Judge Merritt change the way Chris Climo approaches the practice of law? Find out more>

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Primary Care Providers Win Challenge of CMS Interpretation of Enhanced Payment Law

With the help and support of the Tennessee Medical Association, 21 Tennessee physicians of underserved communities joined together and retained Bass, Berry & Sims to file suit against the Centers for Medicare & Medicaid Services to stop improper collection efforts. Our team, led by David King, was successful in halting efforts to recoup TennCare payments that were used legitimately to expand services in communities that needed them. Read more

Tennessee Medical Association & Bass, Berry & Sims

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Thought Leadership

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Download the Healthcare Fraud & Abuse Review 2017, authored by Bass, Berry & Sims

The Healthcare Fraud & Abuse Review 2017 details all healthcare-related False Claims Act settlements from last year, organized by particular sectors of the healthcare industry. In addition to reviewing all healthcare fraud-related settlements, the Review includes updates on enforcement-related litigation involving the Stark Law and Anti-Kickback Statute, and looks at the continued implications from the government's focus on enforcement efforts involving individual actors in connection with civil and criminal healthcare fraud investigations.

Click here to download the Review.

Danielle Sloane Provides Insight on Ensuring Compliance with Stark Law Related to Physician Compensation

Media Mentions

November 23, 2015

Bass, Berry & Sims attorney Danielle Sloane provided insight for an article in Modern Healthcare outlining recent settlements involving Stark Law violations related to physician compensation. The article specifically looks at three cases (United States of America v. North Broward Hospital District, et al. and United States ex rel. Drakeford v. Tuomey Healthcare System, Inc. and Payne et al. v. Adventist Health System-Sunbelt Inc. et al. / Sherry Dorsey v. Adventist Health System Sunbelt Healthcare Corp. et al) in which whistleblowers alerted the U.S. Justice Department about the alleged violations.

Danielle provided several helpful tips on complying with the Stark Law, such as 

  • "Periodically re-evaluate whether a physician's pay reflects fair market value and is commercially reasonable without considering referrals."
  • "Keep gifts, meals and other nonmonetary compensation to referring physicians below $392 in 2016, and document them."

Danielle's remaining tips can be found in the full article, "Whistle-blower Worries: Hospitals Likely to See More False Claims Suits Tied to Doctor Compensation," that was published by Modern Healthcare on November 21, 2015 and is available online.


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