Fraud and Abuse

On Thursday, March 7, in the next installment of Rivkin Radler’s Healthcare Compliance Lunch & Learn series, Rivkin Radler’s Tamika Hardy, Ada Janocinska and Syma Levine will present “Physician Employment Arrangements: Assuring Compliance while Maximizing Opportunities.”  The program will take place from 12:00 noon to 1:00 PM Eastern time via Zoom.

Some of the topics

On December 19, Michael Lonski, a Greenwich psychologist, was sentenced to a 27-month prison term and three more years of supervised release for a scheme to defraud Medicaid. Lonski submitted over 80,000 claims from 2014 to 2019, and in calendar year 2017 he submitted claims for services on all but one day—including holidays and weekends.

The U.S. Department of Justice recently announced that Silver Lake Hospital, a long-term care hospital in Newark, New Jersey, and some of its investors agreed to pay $30.6 million to settle claims that they violated the False Claims Act (FCA) and the Federal Debt Collection Procedures Act (FDCPA). The hospital allegedly overbilled Medicare by claiming

A recent Advisory Opinion (No. 23-15) from the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) concluded that a healthcare consulting company’s plan to offer gift cards to physician practices in exchange for referring potential new customers to the company does not violate the federal Anti-Kickback Statute (AKS).

The consulting company

Community Health Network, Inc., based in Indianapolis, Indiana, has paid $345 million to settle alleged violations of the False Claims Act (FCA). The lawsuit was initiated through a whistleblower complaint that was filed in 2014 by the network’s former Chief Financial Officer. The suit alleged that, between 2008 and 2009, the network recruited hundreds of

On December 14, the U.S. Attorney’s Office for the Southern District of New York and other agencies announced the indictment of Niranjan Mittal, a Brooklyn cardiologist, on multiple fraud charges. Mittal allegedly fabricated patient records, paid physicians for patient referrals, and billed for medically unnecessary procedures. The U.S. Attorney’s Office also filed a civil fraud

A September 29 article in NutraIngredients-USA, “New Jersey Man Arrested for Selling Counterfeit Supplements on Amazon,” discussed the arrest of Brad Snyder of Marlton, NJ, for allegedly counterfeiting Pure Encapsulations and Nature M.D. branded products and selling them online. Rivkin Radler’s Steve Shapiro was quoted in the article.

Steve noted the seriousness