(1) The term “immediate family member” means, with respect to a person— (A) the husband or wife of the person; (B) the natural or adoptive parent, child, or sibling of the person; (C) the stepparent, stepchild, stepbrother, or stepsister of the person; (D) the father-, mother-, daughter-, son-, brother-, or sister-in-law of the person; (E) the grandparent or grandchild of the person; and (F) the spouse of a grandparent or grandchild of the person.
FAQs
Definition: immediate family member from 42 USC § 1320a-7(j)(1) | LII? ›
(1) The term “immediate familyFor U.S. citizens, their immediate relatives are spouses, children, parents, and siblings. For permanent residents, immediate relatives are spouses and unmarried children.https://www.law.cornell.edu › wex › immediate_relative
42 U.S. Code § 1320a–7 - Exclusion of certain individuals and entities from participation in Medicare and State health care programs. Any individual or entity that has been convicted of a criminal offense related to the delivery of an item or service under subchapter XVIII or under any State health care program.
What is the exclusion statute 42 USC 1320a 7? ›The Exclusion Statute [42 U.S.C. § 1320a-7] outlines when individuals are excluded from participation in Federal health care programs such as Medicare, Medicaid, Tricare, and the Veterans Health Administration.
What is the anti kickback statute 42 USC 1320a 7b B )]? ›The Anti-Kickback Statute under 42 U.S.C. § 1320a-7b prohibits anyone from soliciting or receiving remuneration of any type in exchange for referring a patient for services where a federal healthcare program pays or for purchasing an item or service for which a federal healthcare program pays.
What is the exclusion statute? ›The Exclusion Statute ensures than any party who has been convicted of any type of healthcare fraud, healthcare-related criminal behavior, or felony charges related to controlled substances is not permitted to participate in federal healthcare programs.
What does Title 42 of the United States Code deal with? ›Title 42 of the United States Code is the United States Code dealing with public health, social welfare, and civil rights. Parts of Title 42 which formerly related to the US space program have been transferred to Title 51.
What is Section 42 of the United States? ›The program allows U.S. Customs and Border Protection (CBP) to prohibit the entry of persons who potentially pose a health risk by being subject to previously announced travel restrictions or by unlawfully entering the country to bypass health-screening measures.
Who gets excluded from Medicare? ›You can be excluded from Medicare for a variety of reasons outlined in 42 U.S.C. §1320a-7. Some Felony convictions can result in Medicare exclusion, especially those arising from health care fraud, or the unlawful manufacture, distribution or prescription of dispensing controlled substances (drug trafficking).
What is an example of an Anti-Kickback Statute violation? ›Examples of prohibited kickbacks include receiving financial incentives for referrals, free or very low rent for office space, or excessive compensation for medical directorships. Other kickbacks include waving copayments, either routinely or on a selective case-by-case basis.
What is the anti-kickback language? ›The Anti-Kickback Statute prohibits remuneration in relation to a “good, facility, service, or item for which payment may be made in whole or in part under a Federal health care program.” 42 U.S.C. § 1320a-7b(b).
What is 42 USC 1395? ›
42 U.S. Code § 1395 - Prohibition against any Federal interference | U.S. Code | US Law | LII / Legal Information Institute.
What is the 1128b of the act? ›Section 1128 (b) of the Social Security Act (42 U.S.C 1320a '7b(b)), provides criminal penalties for knowingly offering, paying, or soliciting remuneration in order to induce Medicare business.
What are the exceptions to the Anti-Kickback Statute? ›Safe Harbors and Other Exceptions in the Anti-Kickback Laws
As of January 1, 2022, internet-based services advertising clinicians, booking appointments with clinicians, and providing other information about doctors to prospective patients do not give rise to anti-kickback enforcement.
An exclusion list typically contains domains that an advertiser wants to avoid serving their advertisem*nts to, whether it be due to a conflict of interest, or if the domain is known to engage in fraudulent practices or display inappropriate content.
What is exclusion in law? ›EXCLUSION Definition & Legal Meaning
Something not included in an investigation or a tax. An example is an asset or income legally excluded from tax. Refer to exemption.
Exclusion records identify those parties excluded from receiving federal contracts, certain subcontracts, and from certain types of federal financial and non-financial assistance and benefits.
What does it mean when a provider is excluded from a federal health plan? ›Those that are excluded can receive no payment from Federal health care programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or indirectly by the United States (other than the Federal Employees Health Benefits Plan).
What is Section 13031 of Title 42? ›A person who, while engaged in a professional capacity or activity described in subsection (b) of this section on Federal land or in a federally operated (or contracted) facility, learns of facts that give reason to suspect that a child has suffered an incident of child abuse, shall as soon as possible make a report of ...
What is U.S. Code Title 42 Chapter 21 civil rights? ›All persons shall be entitled to the full and equal enjoyment of the goods, services, facilities, privileges, advantages, and accommodations of any place of public accommodation, as defined in this section, without discrimination or segregation on the ground of race, color, religion, or national origin.
What is the federal anti-kickback law? ›The federal Anti-Kickback Statute (AKS) (See 42 U.S.C. § 1320a-7b.) is a criminal statute that prohibits the exchange (or offer to exchange), of anything of value, in an effort to induce (or reward) the referral of business reimbursable by federal health care programs.