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The Anti-Kickback Statute [1] (AKS) is an American federal law prohibiting financial payments or incentives for referring patients or generating federal healthcare business. . The law, codified at 42 U.S. Code § 1320a–7b(b), [2] imposes criminal and, particularly in association with the federal False Claims Act, civil liability on those who knowingly and willfully offer, solicit, receive ...
Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician (or an immediate family member) has a financial relationship with that entity.
In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. [1] It is an organization that provides or arranges managed care for health insurance , self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care ...
This change in the delivery of these services has resulted in the debate between radiologists and other medical specialists over the control and use of advanced medical imaging. Historically, self-referral described the normal practice of a physician diagnosing a patient and then treating that individual if the treatment was within that doctor ...
A patient having his blood pressure measured. A primary care physician (PCP) is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis.
A clinical officer performs general and specialized medical duties such as diagnosis and treatment of disease and injury, ordering and interpreting medical tests, performing routine medical and surgical procedures, referring patients to other practitioners and managing health departments, institutions, projects and systems.
Electronic referrals can result in considerable benefits for service providers. Firstly at the patient level, e-referrals ensure significant improvements to follow-up care coordination [4] by the creation of accurate and timely referrals. Medical decisions are enhanced as each provider involved has the full patient information available to them ...
In 1974, the association was renamed the American Group Practice Association. In 1996, this group merged with the Unified Medical Group Association to form the American Medical Group Association. In 2016, the American Medical Group Association was re-branded as "AMGA," and a tagline was added, “Advancing High Performing Health." [2]