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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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Genexe and Its Entities Will Pay $6M to Settle False Claims Act Allegations, Case Brought by Four Whistleblowers

Posted  05/13/25
DNA
By the Constantine Cannon Whistleblower Team On April 23, the government announced that Genexe LLC, its marketing company Immerge, Inc., and two of its owners, Jason Green and Jason Gross, will pay $6 million to settle allegations that they violated the False Claims Act and Anti-Kickback Statute. The now-defunct Genexe once billed itself as a “one-stop-shop” for genetic and pharmacogenetic profiling,...

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

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Gilead Pays $202M to Settle False Claims Act Kickback Charges

Posted  05/5/25
HIV meds
By the Constantine Cannon Whistleblower Team On April 29, the Department of Justice (DOJ) announced that California-based pharmaceutical giant Gilead Sciences agreed to pay $202 million to settle charges of violating the False Claims Act and Anti-Kickback Statute.  Specifically, the government alleged Gilead provided financial inducements to physicians to speak at or attend sham medical conferences to induce them...

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

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$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
By the Constantine Cannon Whistleblower Team 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...

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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