Ride along while Mark discusses the expanding case involving Insys Therapeutics and kickbacks paid to induce prescription of its drug, Subsys.
Tag: whistleblower
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…
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…
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.
How to Build A Whistleblower – Medical Group Minute
When I was a kid, I built models, usually of airplanes and of cars.Some hospitals and medical groups build whistleblowers.
New Trigger of False Claims Act Liability
I know an attorney whose firm was subject to a disqualification motion by opposing counsel on the basis that one of their offices was in a suite that didn’t have a Certificate of Occupancy from the local building department. The motion was denied on the grounds, I believe, of being patently ridiculous. But if the issue involved…
How to Build a Whistleblower
When I was a kid, I built models, usually of airplanes and of cars. Some hospitals and medical groups build whistleblowers. I’m not kidding you. These healthcare entities ignore employees or partners who come to the business or group with complaints related to billing irregularities, upcoding, lack of medical necessity, and so on. In doing…
Provision of Staff, Payment of Expenses Leads to Federal Anti-Kickback Statute Violation
The federal Anti-Kickback Statute (the “AKS”) makes it a crime to pay remuneration to induce a referral of a federal health care program patient. Many mistakenly believe that the AKS focuses only on cash remuneration, as in “here’s $100 for the case.” They believe that it’s somehow okay for a referral-receiving physician or group to…
Here’s What Happens When Physician Alignment Is Out of Line – Podcast
For Whom the Whistle Blows: Texas County Hospital Settles False Claims Act Suit
Citizens Medical Center, a county-owned hospital in Victoria, Texas, paid the United States government $21,750,000 to settle, without admitting wrongdoing, a whistleblower suit under the False Claims Act. The whistleblowers, competing physicians, will receive $5,981,250 from the recovery.