tci Medicare Compliance & Reimbursement - 2004 Issue 14

Kickbacks: Don't Be Fooled By Groundless Kickback Charges

Here's what you need to know about per-patient marketing compensation.A federal appeals court has overturned major kickback convictions in one of the biggest home health fraud cases in recent memory -- and the move has implications for all health care providers who receive referrals from physicians. In a Feb. 13 ruling, the 5th U.S. Circuit Court of Appeals reversed 11 kickback counts against Carrie Hamilton and Alice Miles of the former Houston-based Affiliated Professional Home Health. Hamilton and Miles were convicted of 28 and 29 fraud counts, respectively, in October 1999 in U.S. v. Miles...

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