Enforcers of anti-kickback laws are turning up the heat on hospitals, health systems and physicians alike, with 2024 on track to see ever increasing penalties and stress on providers. Commonly known as the Stark Law, the Physician Self-Referral Law (42 U.S.C. §1395nn) of 1989 prohibits physicians from referring patients to receive “designated health services” payable by Medicare or Medicaid from entities with which the physician or an immediate family member has a financial relationship, unless an exception applies.

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Physician’s Whistleblowing Leads to $4 Million False Claims Act Settlement Over Kickback Allegations

On April 2, the U.S. Attorney for the Western District of Texas announced that Oncology San Antonio, PA, and affiliated physicians, as well as CorePath Laboratories, PA have agreed to settle allegations of False Claims Act (FCA) violations. The settlements amount to $1.3 million and $2.7 million, respectively, resolving claims that the two entities engaged […]

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Investigations Newsletter: Testing Facility Settles $2.5 Million Anti-Kickback Lawsuit

On May 15, the US Attorneys for the Southern District of New York announced that they had settled their civil fraud lawsuit against Balance Diagnostics USA, LLC, a diagnostic testing facility based in Cedarhurst, New York, for paying kickbacks to physicians and their medical practices in violation of the Anti-Kickback Statute.

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University of Pittsburgh Medical Center Settles Whistleblower Lawsuit for $38m

The University of Pittsburgh Medical Center has agreed to pay $38 million to settle a longstanding whistleblower lawsuit that claimed some of its surgeons were ordering unnecessary and overly-complex procedures to increase their earnings. The agreement will allow the hospital system to deny and any all allegations of wrongdoing.

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Provider Strategy reports on market developments and insights related to the healthcare provider workforce. Our publication is committed to improving the healthcare professional workforce, utilization of providers, and ultimately supporting thought leadership in workforce innovation.

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