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 scheme, obviating the payor’s need to pay claims, or, even worse, supporting their demand for repayment. In what some physicians…
Tag: AKS
Does More Financial Pressure on Hospitals Signal the Return of Questionable Medical Directorships?
Today, and tomorrow, as more and more surgical procedures leave the hospital setting for ASCs and other outpatient facilities, query whether hospital administrators will revisit medical directorships with renewed fervor as they seek ties that bind.
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.
Will Your Copier or Medical Equipment Become a Whistleblower? – Medical Group Minute
Even label makers have memory devices, and those devices may be chock full of protected health information.
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.
U.S. Government Intervenes in 5 Kickback Based Whistleblower Cases Against Insys – Success in Motion
Ride along while Mark discusses the expanding case involving Insys Therapeutics and kickbacks paid to induce prescription of its drug, Subsys.
$2.6 Billion Collected by Feds From Compliance Cheats. ROI Makes Warren Buffett Look Like an Amateur. – Medical Group Minute
Watch Mark discuss how the Feds collected $2.6 Billion from 2015 to 2017 as a result of coordinated Department of Health and Human Services and Department of Justice healthcare anti-fraud operations.
$2.6 Billion Collected by Feds From Compliance Cheats. ROI Makes Warren Buffett Look Like an Amateur.
Federal government collects $2.6 Billion stemming from compliance violations in 967 criminal healthcare fraud investigations from 2015-2017.
Kickback Disguise Schemes: Oh, What a Tangled Web We Weave – Podcast
“Psst! Send me some referrals. I can’t pay you directly, so I’ll pay your spouse.”
Will Your Copier or Medical Equipment Become a Whistleblower? – Podcast
Modern office machines, from copiers to printers to maybe even label makers have memory devices, and those devices may be chock full of protected health information.




