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…
Tag: Claims
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.
Alchemist Can’t Turn Outpatients Into Inpatients for Less Than $18.3 Million – Medical Group Minute
You know that I strongly believe that the future of hospitals isn’t hospitals, it’s outpatient facilities.
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.
Alchemist Can’t Turn Outpatients Into Inpatients for Less Than $18.3 Million
As a frequent reader of the blog, you know that I strongly believe that the future of hospitals isn’t hospitals, it’s outpatient facilities. (In fact, if you haven’t already, grab a free copy of my book, The Impending Death of Hospitals, here.) I’m not sure whether the folks at Banner Health read my book and…
$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.
Uncompensated Medical Directorship Leads to $3.2 Million False Claims Act Settlement
You may have seen their websites: Anesthesia “practice management companies” that advertise “no stipends!” to obtain facility contracts. Or, you may have seen the RPFs, usually drafted by “consultants” or “management companies” (and others specializing in perhaps unknowingly committing federal crimes) who promise the surgeon-owners of ASCs that they’ll get anesthesia groups to provide a plethora…
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.”
For Whom the Whistle Blows: Texas County Hospital Settles False Claims Act Suit – Podcast
Once again, this case demonstrates that simple, facial reliance on safe harbors under the Federal Anti-Kickback Statute and Stark do not guaranty safety for either hospitals or their physician employees and subcontractors.