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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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Fraudster of the Week -- TRICARE Fraudster Joseph Baumiller

Posted  10/20/17
By the C|C Whistleblower Lawyer Team On Tuesday, 38-year-old Joseph Baumiller of Dallas, Texas pleaded guilty to one count of conspiracy to defraud TRICARE, the health care program serving military members and their families. Baumiller, the former president of Trilogy Pharmacy, admitted to conspiring with several marketers, physicians, and other pharmacists to orchestrate a scheme involving the payment of kickbacks...

Houston-Area Hospitals Settle FCA Allegations for over $8M

Posted  10/5/17
By the C|C Whistleblower Lawyer Team Four hospitals in the Houston area have agreed to pay $8.6M to settle allegations that they received kickbacks from ambulance companies in exchange for the hospitals’ Medicare and Medicaid transport referrals. The hospitals are Bayshore Medical Center, Clear Lake Regional Medical Center, West Houston Medical Center, and East Houston Regional Medical Center. All four hospitals...

More Executives Charged in Tenet Healthcare Fraud Scheme

Posted  10/3/17
Several more executives were charged for their alleged roles in the $400 million fraud and bribery scheme involving Tenet Healthcare Corporation. The indictments follow the October 2016 guilty plea and half a billion dollar payout by Tenet and its subsidiaries for violating the False Claims Act and Anti-Kickback Statute. The allegations of the scheme originated in a whistleblower lawsuit filed under the qui tam...

DOJ Catch of the Week -- Medisys

Posted  09/15/17
By the C|C Whistleblower Lawyer Team This week's Department of Justice "Catch of the Week" goes to MediSys Health Network, the owner of New York City hospitals Jamaica Hospital Medical Center and Flushing Hospital and Medical Center. On Wednesday, the hospital system agreed to pay $4 million to settle charges of violating the False Claims Act and Stark Law by engaging in improper financial relationships with...

Family Medicine Centers Settles Whistleblower False Claims Act Charges

Posted  09/12/17
By the C|C Whistleblower Lawyer Team A South Carolina family medical practice chain, along with its owner and laboratory director, agreed to pay roughly $2 Million to settle charges of violating the False Claims Act and Stark Law which prohibits physician self-referrals. Specifically, Family Medicine Centers of South Carolina (FMC) agreed to pay $1.56 million, and FMC's principal owner Dr. Stephen F. Serbin and...

Eye Surgery Provider Settles FCA Kickback Allegations for $12M

Posted  08/23/17
By the C|C Whistleblower Lawyer Team Sightpath Medical, Inc., its parent TLC Vision Corp., and its former CEO James Tiffany have agreed to pay $12 million to resolve allegations, originally brought by a whistleblower, that they defrauded the government by billing it for eye surgery products and services tainted by illegal kickbacks to physicians. According to the Justice Department’s press release, Sightpath...

Rehab Clinics Allegedly Paying Kickbacks to “Body Brokers”

Posted  08/17/17
By the C|C Whistleblower Lawyer Team With the rise of the nation’s opioid crises, more opportunities for corruption and fraud have developed. An industry of patient brokering or “body brokering” has been born. Body brokers are paid kickbacks by rehab clinics in exchange for their recruiting of patients. Patients with good insurance are the most appealing recruits. Kickbacks are also being paid between...

July 17, 2017

Ohio-based nursing home operators Foundations Health Solutions Inc., Olympia Therapy Inc. and Tridia Hospice Care Inc., and their executives Brian Colleran and Daniel Parker, agreed to pay roughly $19.5 million to resolve allegations they violated the False Claims Act by submitting to Medicare claims for medically unnecessary rehabilitation therapy services and for hospice services to patients not eligible for the Medicare benefit, and by soliciting and receiving kickbacks to refer patients from their skilled nursing facilities to home health care provider Amber Home Care LLC.  The allegations originated in two whistleblower lawsuits filed under the qui tam provisions of the False Claims Act by former Olympia employee Vladimir Trakhter and former Tridia employees Paula Bourne and La’Tasha Goodwin.  Mr. Trahkter will receive a whistleblower award of roughly $2.9 million and Ms. Bourne and Ms. Goodwin collectively will receive an award of roughly $740,000, all from the proceeds of the government’s recovery.  Whistleblower Insider

July 6, 2017

New Jersey-based Compassionate Care Hospice Group, Inc. agreed to pay $2.4 million to resolve charges that the company and its subsidiary Compassionate Care Hospice of Atlanta violated the False Claims Act and Stark Law by engaging in improper financial relationships with contracted physicians to induce them to refer patients.  The allegations originated in a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act by former CCH Atlanta employees Cathy Morris and Josie King.  They will receive a yet-to-be-determined whistleblower award from the proceeds of the government's recovery.  DOJ (NDGA)
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