DOJ and HHS announced the largest ever health care fraud enforcement action. It resulted in charges against 601 defendants across 58 federal districts, including 165 doctors, nurses and other licensed medical professionals.
Kickback
Breaking News: Former Tenet Hospital Executives Facing Criminal Trial for Kickbacks
As you may recall, back in April, 2018, in my post What’s The Downside Risk for Hospital Executives?, I wrote about the fact that Trevor Fetter, the former CEO of Tenet Healthcare, had no skin in the game: his strategy put the company into a nosedive. It lost hundreds of millions. But upon being pushed…
Allegations of Underpaid Debt Lands Big Healthcare Players in Whistleblower Hell – Medical Group Minute
When physicians think about allegations of kickbacks in the context of large insurers, it’s generally related to how a carrier’s internal “claims cops” have alleged that some physician or other provider engaged in a kickback…
Hospital Chain Paying More Than a Quarter BILLION Dollars to Resolve False Billing and Kickback Allegations
HMA will pay over $260 million to resolve fraud claims involving unnecessary admissions, kickbacks and inflated ER fees.
A Naive Anti-Kickback Question Answered – Podcast
There’s an expression in carpentry, “measure twice, cut once.” We should have the same expression in terms of healthcare deals…
Putting a Limit on Your Obligation to Indemnify – Medical Group Minute
You might skip over indemnification provisions when negotiating a contract. You understand what they are. Or do you?
Allegations of Underpaid Debt Lands Big Healthcare Players in Whistleblower Hell
A whistleblower lawsuit accuses Roche and Humana of using debt write-offs as kickbacks to keep diabetes products on formularies.
Physician Behind Bars for Referrals: Kickbacks, Bribes, and Mail Fraud
Every new, and every existing, financial relationship with anyone or any entity with which physicians and other healthcare providers do business must be vetted or re-vetted in light of today’s enforcement reality.
Record Bust: 601 Defendants, Including 165 Doctors, Nurses and Other Licensees Charged With Over $2 Billion in Fraud
On Thursday, June 28th, the DOJ and HHS announced the largest ever health care fraud enforcement action.
Understanding Value on the Fly
Each payor places a different value on your services.