FDA Law Blog

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. The Eliminating Kickbacks in Recovery Act (“EKRA”). 18 U.S.C. § 18 US.C. § 220(a) (emphasis added).

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 52

FDA Law Blog

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. The Eliminating Kickbacks in Recovery Act (“EKRA”). 18 U.S.C. § 18 US.C. § 220(a) (emphasis added).

Lab Testing 40

Lab Testing Individual Referral Patient-Centered 40

GeriPal

MARCH 14, 2024

So, if it’s a hospitalized patient, usually the referral will come through to the SLP service. So, we use that information to formulate a treatment plan. Eric: So, given that, what does the assessment for dysphagia look like? Nicole: Yeah, so again, it does depend a bit on the setting. Eric: Great.

IT 125

IT Patient-Centered Hospital Individual 125

GeriPal

JUNE 9, 2022

Should eligibility and access be determined by clinician referral? By diagnosis? If we move away from clinician referrals as the means by which people get access, how do we keep the clinicians engaged, and not enraged? Should we just use the referrals, whatever’s coming into us, whoever, whatever clinician decides.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. So it matters.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

JULY 21, 2022

Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” Emmy: I would say one big thing, though, is I try to not just make any decision based on a diagnosis, perhaps obviously.

Families 102

Families IT Family Diagnosis 102

GeriPal

JANUARY 18, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And as of 2015, the survey started to ask folks about cancer history, just some broad questions about lifetime history of cancer and whether they’ve had a cancer diagnosis in the past year.

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Illness Patient-Centered Screening Clinic 137

GeriPal

FEBRUARY 22, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. We might say, “Of course you’re sad, you just got a very serious diagnosis.” Do we have any information on that, do you know? Is this a new onset depression?

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

JULY 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

OCTOBER 17, 2024

Eric 12:05 Any pearls on the diagnosis of HFpEF. If it’s continuing and it’s getting worse and maybe they have some swelling in the legs, there are some subtle findings on the echo, but really think for a second, could this be this really common cardiovascular condition, echocardiogram, maybe even a referral to a cardiologist?

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

OCTOBER 27, 2022

But we know from previous studies that a lot of older adults actually want this information, but might not feel comfortable bringing it up. So yes, it’s imperfect and we recognize that, and we’re always clinically making decisions that are based on imperfect information. Eric: Well, let me push you on that.

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IT Clinic Screening Patients 95

GeriPal

JUNE 22, 2023

If the community hospital isn’t able to provide a service like tertiary care, oncology care, they would get a referral to UCSF or wherever, just like anybody in the community. So we’re designing a program where it won’t matter on what the housing is.

Families 133

Families Family IT Community 133

GeriPal

MARCH 20, 2025

And we got this as a hospice referral, and could we, you know, take her on and support her in hospice? Who do you give informed consent to? Just got the diagnosis based on blood tests of amyloid. Then just got the diagnosis. And the family members said, okay, now’s the time we need to honor her request.

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IT Patient-Centered Patients Medical 89

GeriPal

SEPTEMBER 19, 2024

And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Within eight weeks of diagnosis of advanced disease. I don’t know if we captured where the hospice referral came from. Stupid theory.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JULY 6, 2023

I’ve been on a quest to build those services and support so that people can make true, informed decisions for themselves and their families. We’re selling objectivity, information, independence and choice. And that referral can be done in real time, a soft handoff. Eric: Great, thank you both.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MARCH 27, 2025

It was information about our ACP facilitator. Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. So we have to collect what information we have available from Health Information exchange and electronic health records. We were agnostic on the timing.

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Primary Care IT Clinic Illness 80

GeriPal

FEBRUARY 24, 2022

That this is iterative from diagnosis to end-of-life, right? And that kind of prognostic information can be just as valuable, really, to patients and their families planning as time-based information. Get the hospice referral. You don’t have to make this decision because we have this information right here.”

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Illness Patient-Centered IT Patients 98

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. And the point of that is that so many people, in my experience, and I’m sure it’s the same initial diagnosis of cancer, that’s the last thing that I want to talk about. So cancer.net has information on this. And I said, sure.

Illness 131

Illness IT Physicals Patients 131

Physician's Weekly

JUNE 13, 2025

Philip Maxwell, Victoria, British Columbia A Seattle reader delivered a diagnosis on X: So I guess this article and the Dr. Interviewed are far left progressive. They gave me another referral and reported the practice to Medicare. .” So, American doctors, pack your luggage, come on over and join us.

Vaccination 52

Vaccination Families Family IT 52