Anti-Kickback Statute

Federal authorities indicted eight business people in a sweeping case of alleged Medicare and Medicaid fraud involving a genetic testing firm and three marketing companies.

The U.S. District Court for the Middle District of Tennessee recently issued a number of rulings interpreting the federal False Claims Act (FCA) and its state law counterparts relevant to long-term care...

On September 8, 2021, the Department of Justice, in connection with the Office of Inspector General, announced a settlement of $17 million against a home health agency that purchased two home health agencies...

Nursing homes and their residents were targeted in an alleged $86 million Medicare fraud scheme orchestrated by the owner of a Tennessee-based lab, federal authorities say.

A federal judge has denied a motion by former American Senior Communities CEO James Burkhart to throw out his felony fraud convictions, ruling that his law firm’s conflict of interest did not adversely...

Skilled nursing facilities are to assume the cost of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) under a bundled payment methodology for residents in Medicare Part A covered...

A nonprofit senior housing and care provider can continue to pay an agency for referring new residents, despite concerns related to anti-kickback laws, according to a newly released government opinion.

While the story of former Gov. McDonnell and his wife’s alleged excess may make us shake our heads, it did remind me of the slippery slope many in business or politics can fall down when it comes...

A federal jury recently convicted a Philadelphia physician of receiving kickbacks from a hospice provider in exchange for referring Medicare and Medicaid patients. Eugene Goldman, M.D., will be sentenced...

A provision of the Affordable Care Act on kickbacks could snare innocent providers, panelists said at a recent American Health Lawyers Association conference. The new law considers any Medicare claim resulting...