Top Ten Healthcare Fraud Recoveries of 2022
Posted 01/6/23
Electronic Health Records
This archive displays posts tagged as relevant to electronic health records and fraud related to electronic health records.
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November 1, 2022
Electronic health record technology vendor Modernizing Medicine, Inc. (“ModMed”) has agreed to pay $45 million to resolve allegations, including by its former VP of Product Management, that it both received and provided illegal kickbacks in exchange for referrals. According to the government and whistleblower Amanda Long, ModMed engaged in schemes with Miraca Life Sciences, Inc. (now known as Inform Diagnostics) to receive kickbacks in exchange for recommending its users for Miraca’s lab services, and to provide its EHR technology free to healthcare providers to entice them to direct lab orders to Miraca and add to ModMed’s user base. Long will receive about $9 million of the settlement with ModMed. DOJDOJ Previews False Claims Act Enforcement Priorities for 2021
Posted 03/5/21
Catch of the Week: EHR Vendor Athenahealth Settles Kickback Cases Brought by Whistleblowers
Posted 01/29/21
January 28, 2021
Electronic health records vendor athenahealth Inc. will pay $18.25 million to resolve claims brought in two separate whistleblower actions alleging that certain Athena marketing programs provided unlawful remuneration to healthcare providers and others to induce providers to purchase Athena’s EHR systems. Remuneration to current and prospective customers included all-expenses paid trips to sporting, entertainment, and recreational events, as well as cash payments to customers who referred others to Athena. In addition, Athena paid other EHR vendors who referred clients to Athena when they were discontinuing their own EHR products and services. The kickbacks allegedly improperly generated sales for Athena while causing healthcare providers to submit false claims to the federal government for incentive payments related to the adoption and “meaningful use” of Athena’s EHR technology. The whistleblowers, Geordie Sanborn, Cheryl Lovell, and William McKusick, will receive a share of the total settlement that remains to be determined. DOJ; USAO MassTop Ten Healthcare Fraud Recoveries of 2020
Posted 01/5/21
September 22, 2020
New Jersey biotechnology company Bio-Reference Laboratories, Inc., will pay $11.5 million to resolve two actions brought by whistleblowers alleging that defendant violated the Anti-Kickback statute by paying unlawful remuneration to physicians based on the volume of those doctors’ referrals to defendant. The remuneration took the form of payments for a percentage of the cost of electronic medical records software used by the doctors. In addition, defendant was alleged to have unlawfully billed Medicare and Tricare for testing performed on hospital inpatients, instead of billing the hospitals themselves. USAO SDNYTop Takeaways from Former DOJ Civil Chief Jody Hunt on the Current State of False Claims Act Enforcement
Posted 08/28/20
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- COVID-relief fraud will be a DOJ priority. No surprise there given the billions of dollars the federal government is pouring into the economy to alleviate some of the financial strain the pandemic is wreaking on healthcare providers...
DOJ Discusses Its 2020 Healthcare Fraud Enforcement Priorities
Posted 03/6/20
Catch of the Week: Practice Fusion Pays $145 Million for EHR Kickbacks and Misrepresentations about Software
Posted 01/28/20
