Tag: Gregg Shapiro

DOJ Files Case Alleging that Nursing Home Owner Used Medical Directorship Payments as Guise for Kickbacks to Induce Referrals

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On June 14, 2021, the Department of Justice filed a complaint in intervention against Paksn, Inc., a nursing home operator, Prema Thekkek, Paksn’s owner, and seven nursing home companies that Paksan operated and Thekkek owned. The complaint alleged that the defendants paid physicians ostensibly to serve as medical directors of the nursing...
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Court Sentences Pharmacy Owner And Others On Charges That They Paid Kickbacks To Pharmaceutical Sales Rep In Exchange For Prescription Referrals

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On April 16, 2021, the Department of Justice announced that a court sentenced six individuals, including a Virginia pharmacy owner and a former sales representative for Kaléo Pharmaceuticals, after they pled guilty to a variety of criminal charges. Mohamed Abdallah, the owner of Medex Health Pharmacy and Royal Care Pharmacy, was sentenced to...
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Massachusetts Hospital Pays $2.6 Million To Resolve Allegations That It Abused “Modifier 25” Billing Code

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On April 20, 2021, the Department of Justice announced that Massachusetts Eye and Ear, a Boston hospital, agreed to pay over $2.6 million to resolve allegations that it improperly used the “Modifier 25” billing code to obtain higher reimbursements from Medicare and Medicaid. Typically, when a Medicare or Medicaid beneficiary visits a physician to...
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