Episode Details
Back to EpisodesPart 1: Children's Hospitals, Medicaid, and Stark Law Compliance
Episode 54
Published 3 years, 9 months ago
Description
Does the federal Stark law apply to state Medicaid reimbursement? In this episode, Captain Integrity Bob Wade outlines why it doesn’t really matter - as he dives into the Medicaid-Stark Law pool. Hear why there’s still an argument whether hospitals violate the federal Stark Law when they submit Medicaid claims, many states still have their own Stark Law statutes and regulations, Fair Market Value (FMV) and Commercial Reasonableness apply regardless of whether the federal Stark Law applies, examples from Bob’s experience in notable cases, and how the Department of Justice (DOJ) has handled the issue in the past few years. Learn more at CaptainIntegrity.com