{"id":50189,"date":"2022-06-29T13:37:09","date_gmt":"2022-06-29T20:37:09","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=50189"},"modified":"2022-06-29T13:38:45","modified_gmt":"2022-06-29T20:38:45","slug":"fifteen-texas-doctors-agree-to-pay-over-2-8-million-to-settle-kickback-allegations","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=50189","title":{"rendered":"Fifteen Texas Doctors Agree to Pay Over $2.8 Million to Settle Kickback Allegations"},"content":{"rendered":"<div class=\"field field--name-field-pr-subtitle field--type-text field--label-hidden\">\n<div class=\"field__items\">\n<div class=\"field__item even\" style=\"text-align: center;\"><span style=\"font-size: 20px;\"><em><strong>Total of 33 Texas Doctors Have Settled Related Health Care Fraud Allegations<\/strong><\/em><\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"field field--name-field-pr-body field--type-text-long field--label-hidden\">\n<div class=\"field__items\">\n<div class=\"field__item even\">\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3918 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/06\/Department-of-Justice-300x300.png\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/06\/Department-of-Justice-300x300.png 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/06\/Department-of-Justice-150x150.png 150w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/06\/Department-of-Justice.png 350w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Fifteen additional Texas doctors have agreed to pay a total of $2.83 million to resolve False Claims Act allegations involving illegal kickbacks, officials stated.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">These were alleged violations of the Anti-Kickback Statute and Stark Law.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">\u201cThe Anti-Kickback and Stark Statutes help protect the integrity of federal health care programs,\u201d said Principal Deputy Assistant Attorney General Brian M. Boynton, head of the Justice Department\u2019s Civil Division. \u201cWe will continue to pursue both individuals and corporations responsible for schemes that violate these important safeguards.\u201d<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">\u201cThese settlements should reinforce the message that the Eastern District of Texas will not tolerate health care providers who seek to enrich themselves through kickback schemes,\u201d said U.S. Attorney Brit Featherston for the Eastern District of Texas.\u00a0<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><a href=\"https:\/\/cjnotebook.com\/photo-by-hush-naidoo-jade-photography-4\/\" rel=\"attachment wp-att-50191\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-50191 alignright\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2022\/06\/yo01z-9hqaw-300x200.jpg\" alt=\"black and gray stethoscope\" width=\"300\" height=\"200\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2022\/06\/yo01z-9hqaw-300x200.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2022\/06\/yo01z-9hqaw-1024x683.jpg 1024w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2022\/06\/yo01z-9hqaw-768x512.jpg 768w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2022\/06\/yo01z-9hqaw-1536x1024.jpg 1536w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2022\/06\/yo01z-9hqaw.jpg 1600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u201cThis outcome is the result of cooperation amongst law enforcement partners focused on upholding the integrity of federal health care programs,\u201d said Special Agent in Charge Miranda L. Bennett of the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG).\u00a0<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">The Anti-Kickback Statute prohibits offering, paying, soliciting or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid and other federally-funded programs. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">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.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">The claims resolved by the settlements are allegations only, and there has been no determination of liability.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><a href=\"https:\/\/cjnotebook.com\/photo-by-ashkan-forouzani-2\/\" rel=\"attachment wp-att-50193\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-50193 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2022\/06\/ignxm3e1rg4-200x300.jpg\" alt=\"person in blue denim jeans with gray and black metal padlock\" width=\"200\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2022\/06\/ignxm3e1rg4-200x300.jpg 200w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2022\/06\/ignxm3e1rg4-683x1024.jpg 683w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2022\/06\/ignxm3e1rg4-768x1152.jpg 768w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2022\/06\/ignxm3e1rg4.jpg 800w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a>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, officials stated.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">The settlements announced today resolve allegations that 15 Texas doctors violated the Anti-Kickback Statute and the Stark Law by receiving thousands of dollars in remuneration from nine management service organizations or MSOs. i<\/span><span style=\"font-size: 20px;\">n exchange for ordering laboratory tests from Rockdale Hospital dba Little River Healthcare (Little River), True Health Diagnostics LLC (True Health), and\/or Boston Heart Diagnostics Corporation (Boston Heart). <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Little River allegedly funded the remuneration to certain doctors, in the form of volume-based commissions paid to independent contractor recruiters, who used MSOs to pay numerous doctors for their referrals. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">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.<\/span><\/p>\n<ul>\n<li><span style=\"font-size: 20px;\"><strong>Louis Coates, D.O., of Garland, Texas<\/strong>, agreed to pay $87,694 to settle allegations that from Sept. 26, 2016, to March 14, 2018, he received kickbacks from an MSO, Herculis MG LLC, in return for ordering laboratory tests from Boston Heart.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Jason DeMattia, M.D., and Candice DeMattia, M.D.<\/strong>, both of Tomball, Texas, agreed to pay $316,142 and $207,009, respectively, to settle allegations that from Aug.1, 2014, to Dec. 31, 2016, they received kickbacks from two MSOs, North Houston MSO Group Inc. and Tomball Medical Management Inc., in return for ordering laboratory tests from True Health and Little River.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Emanuel Paul (E.P.) Descant II, M.D<\/strong>., of Spring, Texas, agreed to pay $256,466 to settle allegations that from Jan. 5, 2015, through Feb. 3, 2018, he received kickbacks from two MSOs, North Houston MSO Group Inc. and Tomball Medical Management Inc., in return for ordering laboratory tests from Little River.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Mitchell Finnie, M.D.<\/strong>, of San Antonio, Texas, agreed to pay $582,522 to settle allegations that from June 4, 2015, to July 11, 2017, he received kickbacks from two MSOs, Alpha Rise Health LLC and Tango Rise Health Solutions LLC, in return for ordering laboratory tests from Boston Heart, True Health and Little River.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Mark Le, M.D.<\/strong>, of Tomball, Texas, agreed to pay $57,900 to settle allegations that from May 9, 2016, to Sept. 22, 2017, he received kickbacks from two MSOs, North Houston MSO Group Inc. and Tomball Medical Management Inc., in return for ordering laboratory tests from True Health and Little River.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Richard Le, M.D<\/strong>., of Houston, Texas, agreed to pay $41,000 to settle allegations that from Sept. 29, 2016, to Aug. 24, 2017, he received kickbacks from two MSOs, North Houston MSO Group Inc. and Tomball Medical Management Inc., in return for ordering laboratory tests from True Health and Little River.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Robert Jeremy Laningham, M.D., and Rodney Jason Laningham, M.D.<\/strong>, both of Conroe, Texas, agreed to pay $470,560 to settle allegations that from Aug. 8, 2015, through July 6, 2016, they received kickbacks from two MSOs, SYNRG Partners LLC and Transparity Associates LP in return for ordering laboratory tests from Boston Heart, True Health and Little River.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Andres Mesa, M.D<\/strong>., of Houston, Texas, agreed to pay $45,484 to settle allegations that from May 1, 2016, to Jan. 9, 2018, he received kickbacks from an MSO, Transparity Associates LP, in return for ordering laboratory tests from Boston Heart and Little River.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Melissa Miskell, D.O.<\/strong>, of New Braunfels, Texas, agreed to pay $100,392 to settle allegations that from July 13, 2015, to Dec. 14, 2017, she received kickbacks from an MSO, Alpha Rise Health LLC, in return for ordering laboratory tests from Boston Heart and Little River.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Marco Munoz, M.D.<\/strong>, of Fort Worth, Texas, agreed to pay $54,280 to settle allegations that from July 7, 2015, to April 6, 2016, he received kickbacks from an MSO, Alpha Rise Health LLC, in return for ordering laboratory tests from Boston Heart and Little River.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Kozhaya Sokhon, M.D.<\/strong>, of the Woodlands, Texas, agreed to pay $160,456 to settle allegations that from Jan. 16, 2015, to May 18, 2018, he received kickbacks from two MSOs, SYNRG Partners LLC and Transparity Associates LP, in return for ordering laboratory tests from Boston Heart and Little River.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Annie Varughese, M.D.<\/strong>, of the Woodlands, Texas, agreed to pay $213,888 to settle allegations that from Sept. 1, 2015, to Nov. 17, 2017, she received kickbacks from three MSOs, SYNRG Partners LLC, Transparity Associates LP, and North Houston MSO Group Inc., in return for ordering laboratory tests from True Health and Little River.<\/span><\/li>\n<li><span style=\"font-size: 20px;\"><strong>Paul Worrell, D.O<\/strong>., of Dallas, Texas, agreed to pay $237,487 to settle allegations that from Oct. 9, 2015 to Dec. 31, 2017 he received kickbacks from three MSOs, Ascend MSO of TX LLC, Eridanus MG LLC and BDS Healthcare LLC, dba Vybrem Labs, in return for ordering laboratory tests from Boston Heart, True Health and Little River.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-15368 alignright\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2015\/09\/Courtroom.jpg\" alt=\"\" width=\"278\" height=\"252\" \/>As part of their settlements, the 15 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, according to authorities.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><a href=\"https:\/\/www.justice.gov\/opa\/pr\/justice-department-files-false-claims-act-complaint-against-two-laboratory-ceos-one-hospital\">Former True Health CEO Christopher Grottenthaler, former Boston Heart CEO Susan Hertzberg,<\/a>\u00a0former Little River CEO Jeffrey Madison, and others are defendants in a separate False Claims Act lawsuit in which the United States filed an\u00a0<a href=\"https:\/\/www.justice.gov\/opa\/pr\/justice-department-files-false-claims-act-complaint-against-six-physicians-texas-relating\">amended complaint<\/a>\u00a0in May 2022. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">That pending case is captioned\u00a0<em>United States ex rel. STF, LLC v. True Health Diagnostics, LLC, et al.<\/em>, No. 4:16-cv-547 (E.D. Tex.). <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">If a defendant is found liable for violating the act, the United States may recover three times the amount of its losses plus applicable penalties, officials stated.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-41105 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2020\/07\/cropped-judge-gavel-2-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2020\/07\/cropped-judge-gavel-2-300x300.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2020\/07\/cropped-judge-gavel-2-150x150.jpg 150w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2020\/07\/cropped-judge-gavel-2.jpg 684w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>The civil settlements were the result of a coordinated effort between the Civil Division\u2019s Commercial Litigation Branch, Fraud Section and the U.S. Attorney\u2019s Office for the Eastern District of Texas, with assistance from HHS-OIG, DCIS and VA-OIG. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">As a result of its efforts, the United States has recovered over $32 million relating to conduct involving Boston Heart, True Health and Little River, including False Claims Act settlements with 33 physicians, two health care executives, and one laboratory. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">This matter and the related matters were handled by attorneys Christopher Terranova and Gavin Thole in the Civil Division\u2019s Commercial Litigation Branch (Fraud Section) and Assistant U.S. Attorneys James Gillingham, Adrian Garcia and Betty Young for the Eastern District of Texas.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">The government\u2019s pursuit of these matters illustrates the government\u2019s emphasis on combating health care fraud. One of the most powerful tools in this effort is the False Claims Act. 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<p style=\"text-align: center;\">\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Total of 33 Texas Doctors Have Settled Related Health Care Fraud Allegations Fifteen additional Texas doctors have agreed to pay a total of $2.83 million to resolve False Claims Act allegations involving&#8230;<\/p>\n","protected":false},"author":1,"featured_media":50190,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3255],"tags":[],"class_list":["post-50189","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-federal-court"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ 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