Oncology Practice and Lab to Pay $4 Million in Kickback Case

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Ethics News

Biopsy,Bone Marrow,Medulla Ossea

San Antonio–based healthcare providers have agreed to pay over $4 million in civil settlements to resolve allegations of violating the False Claims Act through an unlawful kickback arrangement.

A San Antonio oncology practice and diagnostic reference laboratory have agreed to settle a federal lawsuit, which alleged the two entities had entered an unlawful kickback arrangement.

The DOJ claimed that the payments for referring biopsies constituted illegal kickbacks under the Anti-Kickback Statute, which prohibits offering or receiving payments to encourage referrals of services covered by federal healthcare programs like Medicare and Medicaid. This civil settlement with Oncology San Antonio also resolved allegations that a physician affiliated with the practice, Jayasree Rao, MD, provided unnecessary tests, services, and treatments to patients covered by Medicare, TRICARE, and Texas Medicaid in the San Antonio Metro Area and billed these federal healthcare programs for the unnecessary services.

Biopsy Bone Marrow Medulla Ossea Oncology Practice Oncology Practice Management Bones Medicaid Medicare Texas Malpractice Malpractice Insurance Practice Management Revenue Fraud Fraudulent Geriatrics Elder Care Geriatric Medicine Older Adults Seniors Senior Citizens Elderly Private Practice Referral Wasting

 

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