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Glossary of Healthcare Operations Terms

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Anti-Kickback Statute

What is Anti-Kickback Statute?

The Anti-Kickback Statute prohibits the exchange of anything of value, directly or indirectly, in return for patient referrals or the generation of business reimbursed under federal healthcare programs. It aims to prevent fraud and abuse in healthcare by prohibiting improper financial incentives that could influence medical decision-making.

In what context is Anti-Kickback Statute applicable?

A healthcare provider offers free services to a physician’s patients only if the physician refers more patients to their facility. A medical device company provides expensive gifts to doctors in return for recommending their products to patients covered by Medicare or Medicaid.

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