Practice Quiz

Medical Coding

Category - Compliance and Regulatory

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What is the Federal Anti-Kickback Law and Regulatory Safe Harbors?
  1. It protects patients and federal healthcare programs from fraud and abuse by stopping the corrupting influence of money on healthcare decisions. It states that anyone who knowingly and willfully receives or pays anything of value to influence the referral of federal healthcare program business can be held accountable for a felony.
  2. It allows physicians to accept money for referrals to certain providers or services for patients within a federal healthcare program.
  3. It protects physicians from being charged with a felony if they willfully receive or pay anything of value to influence their medical decisions and best plan of care for the patient.
  4. It protects patients, part of federal healthcare programs, from being referred to other providers that aren’t in the best interest of the patient.
Explanation
Answer: A - This is a federal law that prevents fraud and abuse from happening when one provider may refer to another specific provider and when that provider would then benefit from anything of value.

Physicians are not allowed to accept money or other payment of value for recruitment or referrals of patients. The law doesn’t protect providers from being charged with a felony when this happens; instead it specifies the fines associated with this felony. It doesn’t protect patients from being referred out, only from physician’s receiving a kickback from the referral.
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