federal Anti-Kickback Statute

E722265

United States federal statute criminal law health care fraud and abuse law

The federal Anti-Kickback Statute is a U.S. criminal law that prohibits offering, paying, soliciting, or receiving remuneration to induce or reward referrals for services or items reimbursable by federal healthcare programs.

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Statements (50)

Predicate	Object
instanceOf	United States federal statute ⓘ criminal law ⓘ health care fraud and abuse law ⓘ
alsoKnownAs	AKS NERFINISHED ⓘ federal AKS NERFINISHED ⓘ
appliesTo	Medicaid NERFINISHED ⓘ Medicare NERFINISHED ⓘ clinical laboratories ⓘ federal health care programs ⓘ health care providers ⓘ hospitals ⓘ managed care organizations ⓘ medical device manufacturers ⓘ pharmaceutical manufacturers ⓘ pharmacies ⓘ
country	United States of America ⓘ surface form: United States
covers	bribes ⓘ covert payments ⓘ direct payments ⓘ indirect payments ⓘ kickbacks ⓘ overt payments ⓘ rebates ⓘ
enforcedBy	Office of Inspector General of the U.S. Department of Health and Human Services NERFINISHED ⓘ U.S. Department of Justice NERFINISHED ⓘ
goal	prevent overutilization of health care services ⓘ protect federal health care program funds ⓘ protect patients from medically unnecessary services ⓘ
hasConcept	safe harbor regulations ⓘ
hasEffect	can lead to exclusion from federal health care programs ⓘ can result in civil monetary penalties ⓘ can result in criminal fines ⓘ can result in imprisonment ⓘ
legalStandard	knowingly and willfully ⓘ
prohibits	kickbacks related to items reimbursable by federal health care programs ⓘ kickbacks related to services reimbursable by federal health care programs ⓘ offering remuneration to induce referrals ⓘ paying remuneration to induce referrals ⓘ receiving remuneration for referrals ⓘ soliciting remuneration for referrals ⓘ
regulates	arrangements involving discounts and rebates in federal health care programs ⓘ compensation arrangements tied to patient referrals ⓘ financial relationships between health care providers and referral sources ⓘ
relatedTo	False Claims Act NERFINISHED ⓘ Stark Law NERFINISHED ⓘ
requires	remuneration be in cash or in kind ⓘ
subjectMatter	fraud and abuse in federal health care programs ⓘ health care referrals ⓘ remuneration for health care business ⓘ
violationType	felony offense ⓘ

Referenced by (2)

Full triples — surface form annotated when it differs from this entity's canonical label.

Office of Counsel to the Inspector General, HHS OIG → appliesLaw → federal Anti-Kickback Statute ⓘ

Special Fraud Alerts → relatedTo → federal Anti-Kickback Statute ⓘ