Rivas Goldstein, LLP Call : 212-541-2451 | 800-758-3278

Feds accuse NY doc of taking illegal kickbacks: 3 things to know

The federal government recently accused a New York doctor of partaking in a health care fraud scheme that spanned throughout the country. The alleged scheme involved prescriptions for a pain cream in exchange for illegal kickbacks from a pharmacy located in Oklahoma.

Ultimately, the physician chose to settle the allegations with the government. He faces reduced penalties in exchange for paying the government $172,072.

Three things physicians in New York can learn from this case include the following:

#1: Federal investigations are thorough.

Those who are the subject of a federal investigation should be prepared to become part of a very thorough examination of records and billing practices. The investigation in the case noted above resulted in an expansion that spanned state lines. Another government health care fraud investigation, discussed in a previous post available here, ultimately led to evidence that revealed the college admissions scandal involving some elite members of the Hollywood community.

The takeaway lesson: know that if you are the subject of such an investigation any skeletons kept in the practice's closet will likely come out into the light of day.

#2: Reevaluate agreements and partnerships with other professionals.

These cases serve as a reminder to review your facility's best practices. Analyze relationships that result in referrals to make sure they do not run afoul of applicable regulations and make changes as needed.

If not, the practice could find itself facing serious scrutiny because the government often closely analyzes relationships that result in financial gain.

#3: The government has eyes everywhere.

It is not uncommon for these investigations to start as the result of a tip from a whistleblower. Administration personnel and other medical professionals can contact government authorities and voice allegations of health care fraud.

Knowing these basics can help to reduce the risk of becoming the subject of a health care fraud investigation. However, investigations can happen to anyone. Those who are the subject of such an investigation can act to protect their interests by seeking legal counsel experienced in this niche area of the law.

No Comments

Leave a comment
Comment Information
Email Us For A Response

Schedule A Consultation With An Attorney

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close

Privacy Policy

Austin Office
3345 Bee Cave Rd, Suite 104
Austin, TX 78746

Toll Free: 800-761-5190
Phone: 512-481-8000
Fax: 512-481-0022
Map & Directions

New York Office By Appointment Only
405 Lexington Ave 26th Floor
New York, NY 10174

Toll Free: 800-758-3278
Phone: 512-481-2916
Phone: 212-541-2451
New York Law Office Map

McAllen Office By Appointment Only
1100 East Jasmine Ave
Suite 105
McAllen, TX 78501

Phone: 512-481-8000
Map & Directions

Review Us