Archive
Fraud & Abuse
Texas Hospice Owner Sentenced for Fraud Scheme
A jury found Rodney Mesquias guilty last week on charges of: conspiracy to commit healthcare fraud, conspiracy to commit money laundering, conspiracy to obstruct justice, conspiracy…
Texas Heart Hospital and Subsidiary Management Company to Pay $48 Million to Settle False Claims Act Allegations Related to Alleged Kickbacks
Huge qui tam settlement where the qui tam plaintiffs will recover $13.9 million. The underlying action involves allegations that the Heart Hospital violated the Stark Law…
Federal Regulatory Compliance Issues Can Arise in State Court Matters
An interesting read regarding the use of federal regulatory compliance issues (e.g impermissible healthcare kickbacks) to support a state court tort claim. The plaintiffs sued the…
Two area home health agency owners charged in health care fraud and illegal kickback scheme
A federal grand jury indicted two home health agency on allegations that they fraudulently billed Medicare more than $10 million. The indictment alleges that Tataw and…
Jefferson County Doctor Convicted of Health Care Fraud Violations
The fraud and abuse laws can sometimes be obtuse, but this is a clear-cut case of intentional fraud. Grigoriy T. Rodonaia, of Port Neches, Texas, was…
HHS Finalizes Highly Anticipated Final Rules Amending AKS and Stark Law Regulations, Part III: Value-Based Arrangements
A value-based arrangement is an arrangement entered into between a value-based enterprise (VBE) and one or more of its participants, or among VBE participants in the…
New Stark and Anti-Kickback Statute Comparisons
A great resource of the a redline versions of the regulations that highlight the changes for the new revisions to Stark and the Anti-Kickback Statute. The…
Fifth Individual Charged in Health Care Kickback Conspiracy
The defendants are alleged to have conspired to pay and receive kickbacks in exchange for physicians’ orders that were used to submit claims for payment to…
Stark + AKS Final Rules
The final rules for changes to the Stark Law and Anti-Kickback Statute (healthcare fraud & abuse laws) have been published and go into effect on January…
OIG Fraud Concerns Over Physician Speaker Programs
In a Special Fraud Alert issued on November 16, 2020, the Department of Health and Human Services Office of Inspector General (HHS-OIG) raised significant fraud and…