Where’s the Crime in Providing Free Medical Care?

Can it be a crime to provide free medical care?  That’s the question presented by a post-conviction motion by the so-called King of Nursing Homes, Dr. V. Kuchipudi. Dr. K was convicted on nine counts of violating the Anti-Kickback Statute (AKS) and one count of conspiracy for an arrangement with now-defunct …

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Aetna Wins $37.5 Million for Overbilling Scheme

It’s easy to fall into the habit of regarding self-referrals and kickbacks as strictly a matter of federal law, governed only by the federal Stark Law and Anti-Kickback Statute.  But an April 13 verdict in California provides a vivid reminder that state law also has a role and that private insurers can be as …

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A Recap of National Health IT Week

National Health IT Week wrapped up on Friday.  This may have been the most eventful week in the ten year history of the event, which is organized by the Health Information Management Systems Society (HIMSS).  Below are a few of the highlights (each of which could likely carry its own blog post): Stage 3 …

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Suing the Hand that Feeds You

Jeffrey Jacobs alleges that Idaho’s Pocatello Hospital violated the False Claims Act because of physician recruitment contracts that were overly generous to his practice group.  Jeff should know because he was recruited under one of the contracts and worked for the group for three years. According to the …

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Broward Health Wins Most-Illegal-Physician-Comp

Okay, there’s not really a Most-Illegal-Physician-Compensation Prize.  But if there were, Florida’s North Broward Hospital District would have won in a walk.  That’s why the district has agreed to pay the government $69.5 million to settle charges that it violated the Stark Law, the Anti-Kickback Statute …

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Free Patient Parking May Trigger False Claims Act Violation

Who knew?  When you park for free at your doctor’s office, you may be a pawn in a scheme to violate the Anti-Kickback Statute, the Stark Law, and the False Claims Act.  It’s enough to make you sick. That’s one of the lessons of an August 14 federal court decision in Florida.  Whistleblower Thomas …

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