In a move demonstrating the government’s continued aim to combat health care fraud through its Health Care Fraud Prevention and Enforcement Action Team (HEAT), the Department of Justice announced today that the government has intervened in two qui tam lawsuits against a Florida cardiologist, Dr. Asad Qamar, and …
Two Months After Indictment, Medicare Fraud Mastermind and Doctor Plead Guilty
December 18, 2014 Leave a Comment
Mark Morad, the man who cooked up a $56 million Medicare fraud scheme, and his accomplice doctor pled guilty yesterday in federal court in Louisiana to various health care fraud charges. According to a September 2014, indictment Mr. Morad directed a massive Medicare fraud scheme through multiple companies he …
HELL HATH NO FURY LIKE A SCORNED COMPLIANCE OFFICER
May 14, 2014 1 Comment
Sally was VP of Corporate Compliance at Holzer Health System. When she looked into Holzer’s heavy use of Life Ambulance, she found that Life provided gifts and lunches to Holzer employees. She thought that was a violation of the Anti-Kickback Statute and the False Claims Act (FCA). She also thought that …
CHILDREN’S HOSPITAL SETTLES WHISTLEBLOWER CASE FOR $7 MILLION
April 22, 2014 Leave a Comment
Yet another hospital has paid millions to settle a whistleblower suit brought by a former insider. For over a decade Barbara Schubert worked for the physician-recruiting subsidiary of All Children’s Health System. She became a whistleblower, claiming that All Children’s Hospital, also a subsidiary of the …
Payments Might Generate Illegal Remuneration But OIG Won’t Impose Sanctions
January 23, 2014 Leave a Comment
With an analysis partially relying on the Sgt. Schultz defense, the Office of Inspector General's first Advisory Opinion of 2014 declines to impose sanctions under the Anti-Kickback Statute on placement fees paid for referrals to senior residential communities, even though the referrals might at some point …