Medical Center Self-Disclosure Led to a Resolution with DOJ
On July 7, 2022, The Department of Justice ("DOJ") announced that Weirton Medical Center (WMC), a 167-bed hospital located in Weirton,...
Oct 26, 2022
Failure to Prevent Performance of Medically Unnecessary Services Leads to $22.7 Million Settlement
Earlier this year, the United States intervened in the investigation of a 2020 qui tam complaint filed against Washington-based...
Sep 9, 2022
Telehealth Fraud Alert Issued by OIG
Telehealth exploded after the federal government relaxed regulations and encouraged healthcare providers to offer e-visits or virtual...
Jul 28, 2022
$18.2 Million Settlement, CIA in Whistleblower Case for Referral-Based Share Redistribution
A Dallas-Fort Worth physician group, Flower Mound Hospital Partners, LLC (“FMHP”), has agreed to pay $18.2 million to resolve allegations of False Claims Act violations in a civil settlement brought under qui tam provisions. The Department of Justice (“DOJ”) announced that FMHP was accused of knowingly submitting Medicare, Medicaid, and TRICARE claims resulting from referrals in violation of the Stark Law and the Anti-Kickback Statute between June 2019 and June 2021. The whis
Apr 18, 2022
Urology Group to Settle Allegations of Improper Medical Director Payments
On February 15, 2022, the Department of Justice announced that Brockton Urology Clinic, LLC (“Brockton Urology”) will pay $100,000 to...
Apr 4, 2022
Medical Center Settlement Included Allegation of Kickbacks for Cardiology Practice Call Coverage
On February 9, 2022, the Department of Justice announced that Catholic Medical Center (CMC) will pay $3.8 million to settle allegations...
Feb 24, 2022
Recent Settlement Underscores: FMV, CR, & No Payments for Patient Referrals in Practice Sales
A $37.5 million civil settlement for a joint resolution with the US Department of Justice, the California Department of Justice, Southern...
Jul 22, 2021
Improper Medical Director Payments Alleged at SNF Chain
On June 15, 2021, the United States filed a complaint under the False Claims Act against a California skilled nursing facility chain and...
Jun 30, 2021
Physician's Lawsuit Focuses on Post Acquisition Compensation
Among the slew of operational decisions involved in medical practice transactions, human resource matters call for careful consideration....
Mar 24, 2021
Texas Hospice Company Settles Allegations of Improper Payments to Physicians
A Texas-based hospice agency and a related home health company recently paid a $1.8 million settlement related to allegations of improper...
Mar 12, 2021
Merit Medical Whistleblower Settlement
Shortly after a 2016 qui tam lawsuit was made public in June 2020, Utah based Merit Medical Systems, Inc. announced it will pay $18...
Oct 16, 2020
$11.5m Sightline Health Settlement: What Can We Learn?
Earlier this year, radiation therapy provider SightLine Health reached a $11.5m settlement with the DOJ in a lawsuit alleging it knowingly violated the federal physician self-referral and anti-kickback laws. Financial Arrangement According to the complaint, SightLine’s operating model was to build a radiation therapy center in a new market, and “syndicate” ownership of the center among referring physicians (primarily urologists). Sightline would keep 20% ownership of the JV
Sep 17, 2018
Hospital and Cardiology Group Settle Allegations of Improper Medical Director Payments
On March 7, 2018, the Department of Justice announced that a hospital and a physician group will pay $20.75 million to settle allegations of kickbacks and Stark Law violations. The case started with a qui tam lawsuit filed by Dr. Tullio Emanuele, a cardiologist once employed by the group.[1] In an amended complaint filed November 30, 2012, Dr. Emanuele alleged that his former employer, Medicor, a private practice of cardiologists and internal medicine physicians, entered into
Mar 15, 2018
