“Improper financial arrangements between hospitals and physicians can compromise medical judgement and threaten the integrity of the Medicare program,” said Special Agent in Charge Roberto Coviello of the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG). “Working alongside our law enforcement partners, HHS-OIG will continue to thoroughly pursue allegations of Stark Law violations.”
“Health care providers need to ensure that compensation agreements with physicians are appropriate, and the claims they submit to Medicare are based on the clinical needs of patients, not financial ones,” said Jodi Cohen, Special Agent in Charge of the Federal Bureau of Investigation, Boston Division. “Working with our law enforcement partners, we will continue to investigate deals that we believe could undermine impartial medical judgement, drive up health care costs, and erode the public’s trust in our health care system.”
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The government’s investigation was prompted by False Claims Act allegations brought in a lawsuit filed by a whistleblower, under the qui tam provisions of the False Claims Act.
Acting U.S. Attorney Levy, HHS-OIG SAC Coviello and FBI SAC Cohen made the announcement today. The Department of Defense, Office of the Inspector General also assisted in the investigation. Assistant U.S. Attorneys Jessica J. Weber and Andrew A. Caffrey, III of the Affirmative Civil Enforcement Unit are handling the matter.
The claims in which the United States has intervened are allegations only. There has been no determination of liability.
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