July 8, 2020
An orthopedic hospital, its management company, a physician’s group, and two physicians have agreed to pay $72.3 million
to resolve whistleblower-brought allegations under the Anti-Kickback Statute, federal False Claims Act, and Oklahoma Medicaid False Claims Act of defrauding Medicare, Medicaid, and TRICARE. Between 2006 and 2018, the Oklahoma Center for Orthopaedic and Multi-Specialty Surgery (OCOM)
and its part-owner and management company, USP OKC, Inc.
and USP OKC Manager, Inc.
(collectively USP), allegedly provided free or below-fair market rate services and compensation to Southwest Orthopaedic Specialists, PLLC (SOS)
, including SOS physicians Anthony Cruse, D.O.
, and R.J. Langerman, Jr., D.O.
, in exchange for patient referrals. USP also allegedly offered preferential investment opportunities to physicians in Texas. As part of the settlement, USP will pay $60.86 million to the United States, $5 million to the State of Oklahoma, and $206,000 to the State of Texas, while SOS and its physician defendants will pay $5.7 million to the United States and $495,619 to the State of Oklahoma. DOJ