On Thursday, June 28th, the DOJ and HHS announced the largest ever health care fraud enforcement action.
Tag: fraud
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.
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 2016 book, The Impending Death of Hospitals, here.) I’m not sure whether the folks at Banner Health read my book…
Pay Fee or Die – Success in Motion
Sit back and listen to Mark talk about Vermont’s war on patient care, freedom, and freestanding facilities.
Hospital-Physician Owned ASC Sues Freedom Loving Physician Entrepreneurs for Competing
The Sioux City Journal reported last week (on 12/29/17) that a hospital-physician joint venture ASC, Pierce Street Same Day Surgery, filed suit to enforce covenants not to compete against a number of current and former physician investors. Pierce Street is also suing the medical group, Tri-State Specialists, owned by some of the individual physician defendants….
OIG Issues Fraud Alert on Physician Compensation – Podcast
You must be extremely careful when entering into any physician compensation arrangement, whether you are the payor or the recipient in order to steer clear of possible AKS violations.
Healthcare Freedom of Choice: Doughnuts and Doing Time
In a Wall Street Journal piece published in last weekend’s Saturday/Sunday Nov. 11-12, 2017, edition, Ezekial Emanuel, M.D. of the University of Pennsylvania and other pursuits, wrote of the “hype of virtual medicine.” In particular, he cited studies that show that virtual medicine and high-tech health gadgets such as Fitbits accomplish nothing in regard to…
Another Physician Guilty of Receiving Insys/Subsys Kickbacks
On October 25, 2017, another physician, Jerrold Rosenberg, M.D., pleaded guilty to charges related to the plethora of kickback prosecutions emanating from Insys Therapeutics, Inc., and its fentanyl drug, Subsys. Couch and Ruan Sent to Prison In February of this year, I wrote in my post Pain Medicine Doctors Alleged to Have Received $115,000 in…
Extrapolation: How the Government Turns One Alleged Bad Claim Into Thousands of Violations – Medical Group Minute
Compliance – it’s the multi-zillion dollar reason why your medical group’s or healthcare business venture’s efforts must constantly be tested, reviewed, and returned.
Aetna Obtains $37+ Million Judgment Against ASC Manager – Medical Group Minute
Earlier this year, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives.