Anti-Kickback and Stark
This archive displays posts tagged as relevant to the Anti-Kickback Statute and Stark Law.
You may also be interested in the following pages:
January 23, 2018
Drs. Aytac Apaydin and Stephen Worsham, urologists based in Northern California who own Salinas Valley Urology Associates and formerly owned Advance Radiation Oncology Center, will pay roughly $1 million to settle claims they violated the False Claims Act by submitting claims to Medicare for image guided radiation therapy (IGRT) that was referred and billed in violation of the physician self-referral law (the “Stark Law”) and the Anti-Kickback Statute. DOJTennessee Health Care Executives Charged in Kickback Scheme
Posted 04/10/18
By the C|C Whistleblower Lawyer Team
The DOJ charged two Tennessee health care executives, John Davis and Brenda Montgomery, for their alleged participation in a $4.6 million Medicare kickback scheme involving durable medical equipment. Davis is the former CEO of pain management company Comprehensive Pain Specialists (CPS). Montgomery is the owner of medical equipment company CCC Medical Inc. See DOJ Press...
Orthopedic and Anesthesia Providers to Pay $3.2 million to Settle False Claim Act Allegations
Posted 04/6/18
By the C|C Whistleblower Lawyer Team
Georgia Bone & Joint, Summit Surgery Center, Southern Crescent Anesthesiology, Sentry Anesthesia Management, and David LaGuardia agreed to pay $3.2 million to settle allegations that LaGuardia, Sentry, and SCA provided a free medical director to Summit Surgery Center in order to induce it to choose to perform more procedures at the surgery center rather than in the GBJ office. GBJ...
Radiation Therapy Company Agrees to Pay Up to $11.5 Million to Settle Allegations of False Claims and Kickbacks
Posted 04/2/18
By the C|C Whistleblower Lawyer Team
The DOJ announced a settlement with Texas-based radiation therapy center SightLine Health LLC (“SightLine”) and Oncology Network Holdings LLC, which acquired SightLine in 2011, for $11.5 million to settle allegations in a False Claims Act complaint that Sightline submitted Medicare claims that violated the Anti-Kickback Statute. According to DOJ, the allegations centered on...
Abiomed, Inc. Agrees to Pay $3.1 Million to Resolve Kickback Allegations
Posted 03/9/18
By the C|C Whistleblower Lawyer Team
The Justice Department announced that Abiomed, Inc. agreed to pay $3.1 million to resolve allegations it violated the False Claims Act by purchasing extravagant meals for physicians to induce them to use Abiomed’s Impella line of heart pumps.
“We expect today’s settlement with Abiomed to serve as a warning to medical device manufacturers who try to improperly influence the...
Pennsylvania Hospital and Cardiology Group Settle FCA Suit for Over $20M
Posted 03/8/18
By the C|C Whistleblower Lawyer Team
UPMC Hamot and Medicor Associates, a hospital and a cardiology group located in Erie, Pennsylvania, have settled allegations that they violated the Anti-Kickback Statute and the Stark Law, also known as the Physician Self-Referral Law. Generally speaking, the Anti-Kickback Statute prohibit hospitals, physicians, pharmacies, nursing homes, durable medical equipment (DME) companies,...
Fraudster of the Week -- Pharmacy Fraudster Steven Butcher
Posted 02/16/18
By the C|C Whistleblower Lawyer Team
On Wednesday, former pharmaceutical sales representative Steven Butcher admitted to running a $45 million scheme to swindle both federally-funded and private health care benefit programs. Butcher was charged with one count of conspiracy to commit health care fraud and one count of conspiracy to violate the Anti-Kickback Statute, a law designed to remove financial incentives...
February 15, 2018
New York announced the arrest and indictment of, as well as a civil asset forfeiture action against, Arkady Goldin, 39, of Brooklyn, and Value Pharmacy, Inc. ("Value"), for allegedly defrauding the New York State Medicaid program out of millions of dollars. Goldin, an owner of Value, is charged with Grand Larceny in the First Degree and other crimes for having allegedly paid kickbacks to a hospital employee for the referral of prescriptions for costly cancer medications. Additionally, prosecutors allege that Value billed Medicaid for over a million dollars of prescription medication it did not have in stock to dispense. The Attorney General’s Medicaid Fraud Control Unit ("MFCU"), also filed an asset forfeiture and civil recovery action against Goldin, Value, and Goldin’s co-owners seeking over $8.7 million in damages and penalties, alleging that Value’s owners made millions from these schemes that they funneled through shell companies to purchase personal expenses such as travel, luxury cars, and a high-end country club membership. NYFraudster of the Week -- Former Football Player Monty Grow
Posted 02/9/18
By the C|C Whistleblower Lawyer Team
On Monday, a federal jury in Miami unanimously convicted Monty Grow of running a compound pharmaceutical drug conspiracy that bilked $20 million from TRICARE, a healthcare program for military members and their families. Grow was a star linebacker at the University of Florida in the early 1990s and spent two seasons as a cornerback in the NFL.
Prosecutors accused Grow of...