{"id":48862,"date":"2022-01-24T16:15:57","date_gmt":"2022-01-25T00:15:57","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=48862"},"modified":"2022-01-24T16:15:57","modified_gmt":"2022-01-25T00:15:57","slug":"seven-doctors-hospital-ceo-pay-1-1-million-to-settle-kickback-allegations","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=48862","title":{"rendered":"Seven Doctors, Hospital CEO Pay $1.1 Million to Settle Kickback Allegations"},"content":{"rendered":"
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SHERMAN, Texas \u2013<\/strong><\/span><\/p>\n

Seven Texas doctors and a hospital executive agreed to pay a total of $1.1 million to resolve False Claims Act allegations involving kickbacks, officials announced last week.<\/span><\/p>\n

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Medicare<\/figcaption><\/figure>\n

\u201cPaying kickbacks to physicians distorts the medical decision-making process, corrupts our healthcare system, and increases the cost of healthcare funded by the taxpayer,\u201d said U.S. Attorney Brit Featherston. \u201cLaboratories, marketers, and physicians cannot immunize their conduct by attempting to\u00a0 disguise the kickbacks as some sort of investment arrangement.”<\/span><\/p>\n

The Stark Law forbids a hospital or laboratory from billing Medicare for certain services referred by physicians that have a financial relationship with the hospital or laboratory.\u00a0 <\/span><\/p>\n

\"\"The Anti-Kickback Statute and the Stark Law are intended to ensure that medical providers\u2019 judgments are not compromised by improper financial incentives and are instead based on the best interests of their patients.<\/span><\/p>\n

The claims resolved by the settlements are allegations only, and there has been no determination of liability.<\/span><\/p>\n

\"\"The settlements resolve allegations that seven Texas doctors received thousands of dollars in illegal remuneration from eight management service organizations (MSOs) in exchange for ordering laboratory tests from Rockdale Hospital d\/b\/a Little River Healthcare (Little River), True Health Diagnostics LLC (True Health), and Boston Heart Diagnostics Corporation (Boston Heart). <\/span><\/p>\n

Little River allegedly funded the illegal remuneration to the doctors, in the form of volume-based commissions paid to independent contractor recruiters, who used MSOs to pay numerous doctors for their referrals.\u00a0 <\/span><\/p>\n

The MSO payments to the doctors were allegedly disguised as investment returns but in fact were based on, and offered in exchange for, the doctors\u2019 referrals.\u00a0<\/span><\/p>\n

    \n
  • Jaspaul Bhangoo, M.D., of Denton, Texas, agreed to pay $125,625 to settle allegations that (a) True Health paid him kickbacks from January 1, 2015 to December 1, 2015; and (b) True Health referred him to an MSO, established by Little River marketers, which paid him MSO kickbacks from June 14, 2016 to September 16, 2016.<\/span><\/li>\n
  • Robert Megna, D.O., of Ferris, Texas, agreed to pay $232,000 to settle allegations that from February 2, 2016 to December 31, 2017 he received kickbacks from (a)\u00a0one MSO, Ascend MSO of TX, LLC, in exchange for ordering Boston Heart laboratory tests from Little River; and (b) another MSO, Geminorium MG LLC, in exchange for ordering laboratory tests from Boston Heart.<\/span><\/li>\n
  • Baxter Montgomery, M.D., of Houston, Texas, and his professional association B-Saz, P.A., agreed to pay $60,000 to settle allegations that from December 29, 2015 to February 3, 2018 he received kickbacks from (a) one MSO, Ascend MSO of TX, LLC, in exchange for ordering True Health laboratory tests from Little River; and (b) another MSO, Indus MG LLC, in exchange for ordering laboratory tests from True Health.<\/span><\/li>\n
  • Murtaza Mussaji, D.O., of Houston, Texas, agreed to pay $215,000 to settle allegations that from August 7, 2015 to November 14, 2017 he received kickbacks from (a) one MSO, SYNRG Partners LLC, in exchange for ordering True Health laboratory tests from Little River; and (b) another MSO, Catalyst Health Partners LP, in exchange for ordering laboratory tests from True Health.<\/span><\/li>\n
  • David Sneed, D.O., of Austin, Texas, agreed to pay $200,000 to settle allegations that from September 30, 2015 to December 23, 2016 he received kickbacks from an MSO, Alpha Rise Health LLC, in exchange for ordering True Health and Boston Heart laboratory tests from Little River.<\/span><\/li>\n
  • Kevin Lewis, D.O. of Houston, Texas, agreed to pay $57,324 to settle allegations that from June 24, 2015 to April 20, 2016, he received kickbacks from an MSO, Alpha Rise Health, LLC, in exchange for ordering Little River and Boston Heart laboratory tests.<\/span><\/li>\n
  • Angela Mosley-Nunnery, M.D. of Kingwood, Texas, agreed to pay $166,500 to settle allegations that from April 12, 2016 to June 14, 2018 she received kickbacks from one MSO, North Houston MSO Group, Inc. and another MSO, Tomball Medical Management, in exchange for ordering laboratory tests from Little River and True Health.<\/span><\/li>\n<\/ul>\n

    As part of their settlements, the physicians have agreed to cooperate with the Department of Justice\u2019s investigations of and litigation against other parties involved in the alleged violations of law.<\/span><\/p>\n

    In addition, the federal government announced a settlement with Richard DeFoore of Anson, Texas, the former Chief Executive Officer of Jones County Regional Healthcare d\/b\/a Stamford Memorial Hospital (Stamford), which was a small hospital in Stamford, Texas.\u00a0 <\/span><\/p>\n

    In late 2015 and early 2016, DeFoore allegedly was approached by representatives of True Health and a partner company, who proposed an arrangement by which Stamford could profit by billing for diagnostic laboratory tests, according to officials.<\/span><\/p>\n

    Under the arrangement, which expanded to include Boston Heart tests, Stamford allegedly coordinated with True Health and Boston Heart representatives and paid volume-based commissions to independent contractor recruiters, who used MSOs to make payments to doctors that were disguised as investment returns but in fact were based on, and offered in exchange for, the doctors\u2019 referrals.\u00a0 <\/span><\/p>\n

    Pursuant to the alleged arrangement, Stamford billed the resulting claims to commercial insurers and True Health and Boston Heart billed the resulting claims to Medicare and other federal healthcare programs.\u00a0 \u00a0<\/span><\/p>\n

    Under the terms of the settlement agreement, DeFoore agreed to pay $50,000, to cooperate with the Department\u2019s investigations of and litigation against other parties, and to be excluded from participation in federal healthcare programs for three years.<\/span><\/p>\n

    \u201cMedical professionals who seek to enrich themselves through kickback schemes undermine federal health care programs and increase health care costs for everyone,\u201d said Special Agent in Charge Miranda L. Bennett of the U.S. Department of Health and Human Services Office of Inspector General.<\/span><\/p>\n

    As a result of its efforts, the United States has recovered more than $27.76 million relating to conduct involving Boston Heart, True Health, and Little River, including False Claims Act settlements with Boston Heart for $26.67 million in November 2019 and with Dr. Bibi Tasleyma Sattar and Oakmont Wellness Center, PA for $210,000 in July 2020.<\/span><\/p>\n

    The government\u2019s pursuit of these matters illustrates the government\u2019s emphasis on combating healthcare fraud.\u00a0 One of the most powerful tools in this effort is the False Claims Act.\u00a0 Tips and complaints from all sources about potential fraud, waste, abuse, and mismanagement can be reported to the Department of Health and Human Services, at 1-800-HHS-TIPS (800-447-8477).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

    SHERMAN, Texas \u2013 Seven Texas doctors and a hospital executive agreed to pay a total of $1.1 million to resolve False Claims Act allegations involving kickbacks, officials announced last week. \u201cPaying kickbacks…<\/p>\n","protected":false},"author":1,"featured_media":48864,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,3255],"tags":[],"class_list":["post-48862","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","category-federal-court"],"yoast_head":"\nSeven Doctors, Hospital CEO Pay $1.1 Million to Settle Kickback Allegations<\/title>\n<meta name=\"description\" content=\"SHERMAN, Texas \u2013 Seven Texas doctors and a hospital executive agreed to pay a total of $1.1 million to resolve False Claims Act allegations involving\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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