Posts Tagged ‘anti-kickback statute’
Lying to Federal Investigators Gets Compounding Pharmacy CEO Prison Time in Healthcare Kickback Scheme
A 71-year-old Palm Beach Gardens man who escaped prison in 2019 after resolving a lawsuit alleging that he and others violated the False Claims Act (FCA) through their involvement in a healthcare kickback scheme will spend six months behind bars for lying to federal agents. In March 2020 Patrick Smith, former CEO and president of…
Read MoreFormer Nurse Practitioner Faces Prison, Stiff Financial Penalty in Case Involving Medicare Kickbacks
A former Georgia nurse practitioner, who with her husband owned two telemedicine and two durable medical equipment companies (DME), faces up to 20 years in prison for her role in a Medicare kickback conspiracy that bilked Medicare out of $136 million. Earlier this month, Jean Wilson pleaded guilty to conspiracy to commit healthcare fraud and…
Read MoreHealthcare-Related False Claims Act Settlements Reach $1.8 Billion in FY 2023
The False Claims Act (FCA), the federal government’s primary tool for civil enforcement, is resulting in record returns. The U.S. Department of Justice reported 543 settlements and judgments, recovering $2.68 billion in the fiscal year ending Sept. 30, 2023. Of that, more than $1.8 billion related to matters involving the healthcare industry, including managed care…
Read MoreFather and Son Clinic Owners to Pay $2 million to Settle False Claims Act, Anti-Kickback Statute and PPP Fraud Allegations
The owners Amerihealth in eastern Idaho have agreed to pay $2 million to settle allegations they violated the False Claims Act.
Read MoreDME Manufacturer Settles False Claims Act Allegations for Nearly $2.5 Million
DME Manufacturer Settles False Claims Act Allegations for Nearly $2.5 Million
Read MoreThree Sentenced for Roles in Compounding Pharmacy Kickback and Fraud Scheme
Three men, including two from Florida, were sentenced for their roles in a $54 million pharmacy kickback, bribery, and fraud scheme involving TRICARE. The federal program provides health insurance benefits to active duty and retired service members and their families. Prison Time David Byron Copeland of Tallahassee was sentenced to four years and three months…
Read MorePET Scan Company and Owner to Pay $85M to Settle Anti-Kickback Statute Allegations
An Illinois healthcare imaging company and its founder, owner and CEO have agreed to pay $85.5 million to settle claims that the company allegedly paid kickbacks to physicians to refer Medicare patients for cardiac scans using “sham” medical supervision agreements in violation of the Anti-kickback statute. The Settlement Agreement Cardiac Imaging Inc. (CII) and Florida…
Read MoreDiagnostic Testing Company Settles False Claims Act Case Filed by Whistleblower
Exagen, a California-based life sciences company that makes diagnostic tests for the treatment of autoimmune conditions, recently settled allegations, filed by a whistleblower, that it violated the False Claims Act by paying physicians to use its laboratory tests. The Settlement Agreement The agreement called for Exagen to pay $653,143. The case was brought under the…
Read MoreDermatology Company Settles Violations of Stark Law and Anti-Kickback Statute
A Texas-based dermatology management company recently agreed to pay the U.S. government approximately $8.9 million, including $5.9 million in restitution, to settle self-reported allegations of potential violations of the Stark Law and the Anti-Kickback Statute resulting in liability under the False Claims Act. The Settlement Agreement According to the settlement agreement, from January 2013 to…
Read MoreConviction in $9.5M Genetic Testing Healthcare Fraud Scheme
A Chicago physician licensed to practice in several states recently was convicted by a federal jury in Nashville, Tenn. in a healthcare fraud scheme of conspiracy to violate the federal Anti-Kickback Statute following a two-week trial. Doctor Acted as a Consulting Provider for Telemedicine Companies Dr. Benjamin T. Toh was indicted in December 2022 for…
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