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Physicians must take all appropriate steps to remain compliant with the federal anti-kickback statute, says Joseph J. Russo, Esq., founder and senior partner of Russo & Russo, LLP, in Bethlehem, PA. The price you may pay for being in violation of the anti-kickback statute is nothing to take lightly. There are fines of up to $25,000, imprisonment of up to five years, or both. Russo says that a violation of the anti-kickback statute could also result in exclusion from the Medicare program.