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Anti-Kickback and Stark

This archive displays posts tagged as relevant to the Anti-Kickback Statute and Stark Law.

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Page 1 of 60

$1B Medicare Scam: Kansas Resident Pleaded Guilty to Illegal Kickback Fraud Scheme

Posted  02/25/25
Medical professional at computer
On February 20, the DOJ announced that Johnson County, Kansas resident Gregory Schreck (50) pleaded guilty to operating DMERx, a web-based platform that created phony doctors’ orders to defraud Medicare and other federal health care benefit programs of over $1 billion. He will receive a maximum penalty of 10 years in prison. Schreck admitted that he and his accomplices targeted 100,000+ Medicare beneficiaries to...

Tagged in: Anti-Kickback and Stark, Medicare,

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LiveCare Inc. Resolves False Claims Act Allegations With $4.9 Million Settlement

Posted  02/14/25
money
Another settlement that resulted in a monetary award for folks who decided to blow the whistle. On January 31, United States Attorney Roger B. Handberg announced that LiveCare Inc. agreed to pay approximately $4.9 million to resolve allegations that the Venice, Florida-based medical company violated the Anti-Kickback Statute and False Claims Act. LiveCare provides remote patient monitoring services to Type 2...

Tagged in: Anti-Kickback and Stark, False Claims Act, qui tam,

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Pfizer to Pay $60M to Settle DOJ and Whistleblower Kickback Charges

Posted  01/27/25
Last Friday (January 24), the Department of Justice announced that Pfizer Inc. subsidiary Biohaven Pharmaceutical Holding Company agreed to pay roughly $60 million to settle DOJ and whistleblower charges of violating the False Claims Act and Anti-Kickback Statute by paying kickbacks to induce prescriptions of Biohaven’s migraine medication Nurtec ODT.  The alleged misconduct occurred prior to Pfizer’s acquisition...

Tagged in: Anti-Kickback and Stark, False Claims Act, qui tam,

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Top 10 False Claims Act Recoveries in Healthcare for 2024

Posted  01/22/25
Healthcare fraud image showing stethoscope with gavel
As we noted in our Top 10 False Claims Act Recoveries post, it was another big year of recoveries under the False Claims Act.  As usual, the majority of recoveries occurred in cases involving healthcare fraud. As the Department of Justice (DOJ) just reported in its annual roundup of False Claims Act successes, of the $2.9 billion the government and whistleblowers recovered this past fiscal year (ending September...

Tagged in: Anti-Kickback and Stark, False Claims Act, Healthcare Fraud, qui tam, Top 10,

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Indiana’s Community Health Network To Pay an Additional $135M to Settle Stark Law Case Initiated by Whistleblower

Posted  01/22/25
a silver whistle on top of a stack of cash
The Indiana-based Community Health Network (“Community”) will pay an additional $135 million to resolve a False Claims Act case involving Stark Law violations initiated by a whistleblower Constantine Cannon represented. The $135 million settlement marks the final resolution of a 2014 False Claims Act case brought by whistleblower Thomas P. Fischer, former Community Chief Operating Officer and Chief Financial...

Tagged in: Anti-Kickback and Stark, False Claims Act,

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Healthcare Providers and Marketers Will Pay $1.1M to Settle Laboratory Kickback Allegations

Posted  01/10/25
Person wearing lab coat in laboratory
In January 2025, the government announced that lab marketers, physicians and their associated entities have agreed to pay $1,137,914 to resolve False Claims Act allegations that they participated in laboratory kickback schemes in violation of the Anti-Kickback Statute. The parties involved include physicians Dr. Abbesalom Ghermay (from Plano, Texas); Dr. Daniel Theesfeld (from Longview, Texas) and his medical...

Tagged in: Anti-Kickback and Stark, False Claims Act, Healthcare Fraud,

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California Clinics, Lab, and Their Owners Pay $10M to Resolve False Claims, Kickback, and Stark Law Allegations

Posted  12/30/24
Medical lab equipment
On December 26, the DOJ announced that medical clinics, a lab, and the owners will pay $10 million to settle allegations that they submitted false claims to Medicare and California’s Medicaid program, Medi-Cal, in violation of the Anti-Kickback Statute (AKS) and Stark Law (Physician Self-Referral Law). The defendants include Southern California Medical Center (SCMC), R & B Medical Group Inc., doing business as...

Tagged in: Anti-Kickback and Stark, False Claims Act, Medicaid, Medicare, qui tam,

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Fishy Business and Fraudulent Bills: New York Internist Pleads Guilty to $891K Healthcare Fraud Scheme

Posted  11/22/24
Doctor holding hundred dollar bills
The Hippocratic Oath was apparently not an ethical pledge Dr. Kenneth Fishberger took to heart. On Thursday, November 14, 2024, New York internist Dr. Fishberger, 75, pleaded guilty in Boston federal court to one count of conspiracy to commit healthcare fraud. Fishberger, an internist from East Setauket, N.Y., received kickbacks for ordering medically unnecessary transcranial doppler (TCD) brain scans, tests used...

Tagged in: Anti-Kickback and Stark, Healthcare Fraud, Medical Billing Fraud,

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February 28, 2024

The owner and operator of a clinical laboratory in Georgia has pleaded guilty and agreed to pay $14.3 million to resolve charges of paying illegal kickbacks and causing false claims to be submitted to Georgia’s Medicaid program.  According to Capstone Diagnostics’ former laboratory manager, Andrew Maloney directed Capstone to pay volume-based commissions to independent sales representatives in exchange for them arranging medically unnecessary urine drug tests and respiratory pathogen panels to come their way.  The laboratory ultimately submitted over $1 million in tainted claims to Georgia Medicaid.  For bringing a successful case under the False Claims Act, whistleblower Jesse Allen will receive almost $3 million.  DOJ

Tagged in: Anti-Kickback and Stark, FCA Federal, Healthcare Fraud, Laboratory and IDTF, Medicaid, Whistleblower Case, Whistleblower Rewards,

Top Ten Healthcare False Claims Act Recoveries for 2023

Posted  01/30/24
Doctor Holding Stethoscope with Crossed Arms
This past year was another big year for DOJ enforcement under the False Claims Act, the government's primary fraud-fighting tool.  And as we noted in our recent Top Ten listing of False Claims Act recoveries for 2023, all but 3 of the Top Ten recoveries were in the healthcare space involving various schemes to defraud Medicare and Medicaid.  So here is our look at the Top Ten healthcare recoveries for...

Tagged in: Anti-Kickback and Stark, FCA Federal, Healthcare Fraud, Medicaid, Medical Billing Fraud, Medicare, Top 10, Whistleblower Case,

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