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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 51 of 51

TAF Whistleblower of the Year -- Halifax Whistleblower Elin Baklid-Kunz

Posted  09/18/14
By the C|C Whistleblower Lawyer Team The whistleblower advocacy and education group Taxpayers Against Fraud (TAF) just had their fourteenth annual conference in Washington. And in what has become a highlight of the three-day event, the organization made its annual Whistleblower of the Year award. This year's winner is Elin Baklid-Kunz. She is the long-time employee of Halifax Health Medical Center who exposed the...

DOJ Catch of the Week -- Community Health Systems

Posted  08/8/14
By the C|C Whistleblower Lawyer Team This week's Department of Justice "catch of the week" goes to Community Health Systems, Inc.  On Monday, the Tennessee-based operator of acute care hospitals -- the largest in the country with 206 affiliated hospitals in 29 states -- agreed to pay $98 million to resolve charges of billing the government for inpatient services that should have been billed as significantly less...

DOJ Catch Of The Week -- Infirmary Health System Inc.

Posted  07/25/14
By the C|C Whistleblower Lawyer Team This week's Department of Justice "catch of the week" goes to Infirmary Health System Inc. On Monday, the Alabama-based hospital system, along with two affiliated clinics and Diagnostic Physicians Group (DPG), agreed to pay $24.5 million to resolve government allegations they violated the False Claims Act. Specifically, the government charged the group with violating the...

June 25, 2014

Ohio-based Omnicare Inc., the country’s largest provider of pharmaceuticals and pharmacy services to nursing homes, agreed to pay $124 million to settle government charges of offering improper financial incentives to skilled nursing facilities in return for their continued selection of Omnicare to supply drugs to their elderly Medicare and Medicaid patients. Donald Gale, former employee of Omnicare Inc., will receive a whistleblower award of roughly $17M from the settlementDOJ

DOJ Catch Of The Week -- King's Daughters Medical Center

Posted  05/30/14
[caption id="attachment_3703" align="alignright" width="300"] Source: King's Daughter Medical Center[/caption] By the C|C Whistleblower Lawyer Team This week's Department of Justice "catch of the week" goes to King's Daughters Medical Center.  On Wednesday, this large hospital in northeast Kentucky agreed to pay $41 million to resolve government charges that it violated the False Claims Act by submitting claims...

May 28, 2014

Medical device manufacturer Medtronic Inc. agreed to pay $9.9M to resolve allegations under the False Claims Act that the company used various types of illegal kickbacks to induce physicians to use pacemakers and defibrillators made and sold by Medtronic. Among the the illegal inducements the government charged Medtronic with using were: 1) paying implanting physicians to speak at events intended to increase the flow of referral business; 2) developing marketing/business development plans for physicians at no cost; and 3) providing tickets to sporting events. The settlement stems from a whistleblower complaint filed by former Medtronic employee Adolfo Schroeder under the qui tam provisions of the False Claims Act. He will receive a whistleblower reward of approximately $1.73M. DOJ  

The lurking risks of hospital-employed physicians: Stark, Anti-Kickback and False Claims Act compliance

Posted  03/25/14
Health Care Finance News, (March 25, 2014)

March 11, 2014

Florida-based hospital system Halifax Hospital Medical Center agreed to pay $85M to resolve allegations that they violated the False Claims Act and Stark Law by executing contracts with six medical oncologists that provided an incentive bonus that improperly included the value of prescription drugs and tests that the oncologists ordered and Halifax billed to Medicare.  The allegations were first raised in a qui tam lawsuit filed by Halifax Hospital employee Elin Baklid-Kunz under the whistleblower provisions of the False Claims Act.  She will receive a whistleblower award of $20.8 million.  DOJ

More Trouble for Orthofix

Posted  12/20/12
By Marlene Koury Medical device maker Orthofix, Inc. this week obtained court approval for its June 2012 settlement proposal to resolve civil and criminal allegations that it defrauded Medicare through kickback schemes and overbilling for its bone-growth stimulators.  Click here for the original government press release.  The company will pay approximately $43 million for its misdeeds.  This payment follows on...

Low Scores for Government Efforts to Clean Up Medicare/Medicaid Fraud

Posted  06/25/12
By Gordon Schnell The Government Accountability Office (GAO), the nonpartisan investigative arm of Congress, just issued a relatively unflattering report on the government's internal efforts to clean up Medicare and Medicaid fraud.  According to the report, the government makes more than $60 billion in improper Medicare and Medicaid payments every year because of fraud, waste and abuse of the system.  This comes...
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