Compliance News Roundup: June OIG Work Plan Additions

1. Three Physicians and Five Marketers Charged for Violations to Federal Anti-Kickback Statutes – Three physicians and five marketers have been charged in U.S. District Court with violations of the federal anti-kickback statute and other criminal offenses announced U.S. Attorney Trent Shores. The men allegedly caused federal health care insurance programs to pay reimbursement costs for fraudulent and expensive compounding drug prescriptions written by recruited doctors in return for kickback payments. The defendants would then use the reimbursed funds for their own financial gain. Get the full scoop >>

2. Fox Chapel Cardiologist Convicted at Trial of Health Care Fraud Involving more than $13 Million of Insurance Billings – “After deliberating for two hours, a federal jury found Samirkumar J. Shah guilty of two counts of health care fraud, United States Attorney Scott W. Brady announced today. Shah, 56, of Fox Chapel, Pa., was tried before United States District Judge David S. Cercone in Pittsburgh, Pennsylvania. U.S. Attorney Brady stated, "Health care fraud threatens the safety and integrity of our entire health care system. Doctors and medical professionals like Dr. Shah who issue false diagnoses, order unnecessary testing and fraudulently bill Medicare and Medicaid in effect steal from the most vulnerable in our community. Today’s jury verdict sends a clear message to those who would do the same: if you commit health care fraud, you will be prosecuted to the fullest extent of the law."’ Get the full scoop >>

3. Deeper Than the Headlines: June OIG Work Plan Additions – In June 2019, we saw more than the average number of additions to the OIG Work Plan. There were a total of 8 new items added. Including opioid use in Medicare part D. Check out the additions that I think will most likely to impact all of you in this week’s deeper than the headlines. Get the full scoop >>