One of the largest laboratory fraud settlements occurred recently resulting in $256 million paid to the government to settle allegations surrounding the False Claims Act, the Anti-Kickback Statute, and the Stark Law. Specifically, the settlement resolves allegations that Millennium Laboratories billed Medicare, Medicaid, and other federal health care programs for medically unnecessary drug testing and genetic [...]
A Hickory physician pleaded guilty today to health care fraud charges for submitting to Medicare and Medicaid over $467,376 in fraudulent reimbursement claims, announced Jill Westmoreland Rose, Acting U.S. Attorney for the Western District of North Carolina. Wayne Vincent Wilson, 54, entered his guilty plea before U.S. Magistrate Judge David S. Cayer. Curated from Hickory, [...]
Recently, Adventist Health System agreed to pay the United States $115 million to settle allegations that the system violated the False Claims Act as a result of allegedly maintaining improper compensation arrangements with physicians. This settlement is significant for numerous reasons in addition to the fact that the settlement reached $100 million dollars. Specifically, this settlement [...]
As you may be aware, the Stark Law is one of the most draconian health care fraud and abuse laws in the United States. In short, the Stark Law is implicated when an entity, such as a hospital, has a financial arrangement with a physician. In the event the physician makes a referral to the entity, [...]