Compliance News Roundup: Medicaid Fraud Control Units

1. Radiation Therapy Company Agrees to Pay Up to $11.5 Million to Settle Allegations of False Claims and Kickbacks – “Texas-based SightLine Health LLC (SightLine), which operates radiation therapy centers throughout the United States, has agreed to settle a False Claims Act lawsuit alleging that it knowingly submitted claims to the Medicare program that violated the Anti‑Kickback Statute, the Justice Department announced today. Together with Integrated Oncology Network Holdings LLC (ION), which acquired SightLine in 2011, SightLine has agreed to pay the government up to $11.5 million.” Get the full scoop >>

2. Orthopaedic and Anesthesia Providers to Pay $3.2 Million to Settle False Claim Act Allegations – “The U.S. Attorney’s Office for the Northern District of Georgia has announced that Georgia Bone & Joint (GBJ), Southern Bone & Joint a/k/a Summit Orthopaedic Surgery Center (Summit Surgery Center), Southern Crescent Anesthesiology, PC (SCA), Sentry Anesthesia Management, LLC (Sentry), and David LaGuardia (LaGuardia) agreed to pay $3.2 million to settle allegations that LaGuardia, Sentry, and SCA provided a free medical director to Summit Surgery Center in order to induce it to choose to perform more procedures at the surgery center rather than in the GBJ office; and that GBJ and LaGuardia caused the submission of false claims to Medicare for prescription drugs purchased outside of the United States and not approved by the U.S. Food and Drug Administration (FDA).” Get the full scoop >>

3. Deeper Than the Headlines: Medicaid Fraud Control Units – “If you were looking for a sound financial investment, what kind of return on your money would you consider good? 8%, 10%, 20%?  How about 652%!! If you could find such an ROI, wouldn’t it be amazing? Well, it appears that the Medicaid Fraud Control Units (MFCUs) are such an investment according to the newly released annual report posted by the OIG. Let’s take a deep dive into the MFCUs and what they mean for you, personally, as a professional in healthcare.” Get the full scoop >>

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