Exclusion Authority Requirements for Chiropractic Practices 

The Office of Inspector General (OIG) has the authority to exclude individuals and entities from participating in Federal healthcare programs under Section 1128 of the Social Security Act, with exclusions often resulting from fraud, abuse, or other violations. Healthcare providers must regularly check the List of Excluded Individuals/Entities (LEIE) to avoid penalties, as employing or contracting with excluded individuals can lead to significant fines and repayment obligations.

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Self-Referral Law for Chiropractic Physicians 

The Physician Self-Referral Law (Stark Law) prohibits physicians from referring Medicare and Medicaid patients for designated health services to entities in which they or their immediate family members have a financial interest, covering services like radiology, physical therapy, and home health care. Violations can lead to severe penalties, including repayment of funds, monetary fines, and exclusion from federal health care program

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Anti-Kickback Statute for Chiropractic Physicians 

The Anti-Kickback Statute prohibits any form of remuneration for referrals related to Federal health care programs, with violations leading to severe penalties, including fines and exclusion from Medicare and Medicaid. Providers must carefully navigate these regulations and consider legal counsel to ensure compliance and avoid costly repercussions.

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The False Claims Act for Chiropractic Physicians

Health care fraud, waste, and abuse cost taxpayers between $30 to $100 billion annually, exposing patients to unnecessary services and reducing funds for legitimate care. The False Claims Act enforces strict penalties for false claims, requiring health care providers to implement thorough compliance measures to avoid substantial fines and legal repercussions.

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