Anti-Kickback and Stark

South Carolina Lab Pleads Guilty and Will Pay At Least $6.8M to Resolve Kickback Allegations Involving Doctors

By the Constantine Cannon Whistleblower Team Clinical laboratory LTD Holding LLC (previously Labtech Diagnostics LLC) based in Anderson, South Carolina, and its founder and CEO Joseph Labash, agreed to pay roughly $6.8 million to settle False Claims Act allegations that they paid illegal kickbacks to doctors from August 2018 to November 2021. This settlement brings the DOJ’s total civil False Claims Act...

New York Doctor Receives Seven-Year Prison Sentence for $24M Medicare Fraud

By the Constantine Cannon Whistleblower Team The government remains persistent in its efforts to combat healthcare fraud, actively pursuing and prosecuting those who exploit the system. This ongoing commitment is evident in its recent enforcement actions, including the case we are analyzing in this post. New York doctor Alexander Baldonado, M.D., 69, received a seven-year prison sentence for submitting more than...

Owners of Wound Graft Companies Pay Big for False Claims Act and Kickback Violations -- DOJ Reinforces Zero Tolerance for Healthcare Fraud

By the Constantine Cannon Whistleblower Team Last Friday (December 12), the Department of Justice (DOJ) announced the major sentencing, forfeitures, and penalties imposed on the owners of several Arizona wound graft companies for a $1.2 billion healthcare fraud scheme.[1]  DOJ described the action -- against Alexandra Gehrke and her husband Jeffrey King -- as “the first prosecution of its kind.”

What Was the...

Georgia Man Sentenced for $24 Million Medicare Fraud and Kickback Scheme

By the Constantine Cannon Whistleblower Team On December 2, Georgia-based Patrick C. Moore Jr. was sentenced to 46 months in prison and required to pay more than $7.2 million in restitution for his involvement in a scheme that involved paying and receiving illegal kickbacks to persuade Medicare beneficiaries to undergo unnecessary genetic testing.[1]

Patrick C. Moore’s Alleged Kickback Scheme

Court documents...

Mail Order Pharmacy Owner Settles False Claims Act Allegations of Kickbacks and Fraudulent Billing

By the Constantine Cannon Whistleblower Team On September 26, Acting U.S. Attorney and Special Attorney Alina Habba announced that California resident Andrew Do agreed to settle allegations that he violated the False Claims Act through illegal kickbacks and fraudulent billing practices at his three mail order pharmacies.

Do’s Pharmacies

From January 2016 through December 2020, Do owned and operated three mail...

DOJ’s MSO Kickbacks Crackdown Continues with $6M Settlement

By the Constantine Cannon Whistleblower Team The Department of Justice recently announced a $6 million settlement from a laboratory CEO, physicians, and marketers who allegedly used management services organizations (“MSOs”) as vehicles for illegal kickback payments.¹  MSOs are business entities that provide administrative and other services to healthcare providers, but in this case they were allegedly used to...

Zakia Khan Pleads Guilty to $68M Adult Social Day Care and Home Health Care Medicaid Fraud Scheme in New York

By the Constantine Cannon Whistleblower Team On August 6, the government announced that Zakia Khan pleaded guilty in federal court to conspiring to defraud Medicaid of roughly $68 million through kickbacks and bribes at two New York-based social adult day care centers that she owned in Coney Island called Happy Family Social Adult Day Care Center Inc. (Happy Family) and Family Social Adult Day Care Center Inc....

Government Secures $114.5M In False Claims Act Recoveries From Cancer Genetic Testing Kickback Scheme

By the Constantine Cannon Whistleblower Team Last Thursday (July 17), the Department of Justice (DOJ) announced the final False Claims Act recovery in a cancer genetic testing kickback scheme involving the Medicaid programs of Colorado, Georgia, and South Carolina. ¹  Kevin Murdock, former owner and CEO of the now-defunct testing lab Premier Medical, agreed to a consent judgment of roughly $27.5...

Catholic Health Pays Over $3M to Resolve False Claims Act Allegations

By the Constantine Cannon Whistleblower Team On May 16, U.S. Attorney Michael DiGiacomo announced that Catholic Health System, Inc. (CHS) agreed to pay $3,293,122.66 to settle False Claims Act allegations that it knowingly submitted or caused the submission of false claims to the Medicare program by engaging in improper financial relationships with physicians in violation of the Stark Law¹.

About The Stark...

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

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