Physician Kickback Defense Attorneys - Oberheiden, P.C.
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Defending Physicians against Kickback Charges in Connection with PGX Testing

extradition

Laboratory Kickback Prosecutions

Since 2014, when the Department of Health and Human Services’ Office of the Inspector General released a Special Fraud Alert regarding improper payments by laboratories to referring physicians, federal investigators have increasingly focused on the relationships between laboratories and physicians.  Federal investigators are particularly on the lookout for situations where laboratories are paying above-market value for services performed by referring physicians or where laboratories are charging below-market value for goods or services provided to referring physicians, as either scenario may be a disguised method for compensating physicians for patient referrals.

The attorneys of Oberheiden, P.C. have been on the forefront of these prosecutions and have been called to defend physicians, lawyers, marketing groups, healthcare executives, and pharmacies across the United States against civil and criminal prosecutions. Please see below for our healthcare fraud defense track record.

The medical services industry is unique in that state and federal laws strictly prohibit providing financial incentives in return for business referrals.  Such laws are in place to protect patients and healthcare programs from corruption of medical judgment, overutilization of medical services, increased costs of medical care, and unfair competition among service providers.  The practice of paying doctors in exchange for patient referrals – paying kickbacks – implicates numerous healthcare laws, including the federal Anti-Kickback Statute, the Social Security Act, the Stark Law, and the False Claims Act.

  • The Anti-Kickback Statute (42 U.S.C. Sect. 1320a-7b) forbids paying or receiving kickbacks in exchange for patient referrals for laboratory tests or other medical services that will be charged to federal programs.
  • The Social Security Act’s (42 U.S.C. ch. 7) anti-kickback clause (Section 1128) forbids paying or receiving kickbacks in exchange for patient referrals for laboratory tests or other medical services that are reimbursable by any federal healthcare program (including Tricare and Department of Labor patients).
  • The Stark Law (42 U.S.C. § 1395nn) places limitations on the financial relationships between physicians and the medical service providers they refer patients to, including laboratories.
  • The False Claims Act (31 U.S.C. §3729 et seq.) forbids presenting fraudulent claims for payment to federal government programs and includes within the definition of “false claim” any claim submitted to a federal healthcare program that resulted from a violation of any anti-kickback laws.
  • State Anti-Kickback Laws: Many states have implemented their own anti-kickback legislation

What Are Potential Penalties?

The Anti-Kickback Statute, the Social Security Act, and the False Claims Act all provide civil and criminal penalties for violations, including prison sentences of up to 5 years in federal prison.  The Stark Law is limited to civil penalties but can be the predicate for a False Claims Act civil or criminal enforcement action.  All four statutes include civil monetary penalties and reimbursement to the government for its damages.

Put our highly experienced team on your side

Dr. Nick Oberheiden
Dr. Nick Oberheiden

Founder

Attorney-at-Law

Lynette S. Byrd
Lynette S. Byrd

Former DOJ Trial Attorney

Partner

Brian J. Kuester
Brian J. Kuester

Former U.S. Attorney

Amanda Marshall
Amanda Marshall

Former U.S. Attorney

Local Counsel

Joe Brown
Joe Brown

Former U.S. Attorney

Local Counsel

John W. Sellers
John W. Sellers

Former Senior DOJ Trial Attorney

Linda Julin McNamara
Linda Julin McNamara

Federal Appeals Attorney

Aaron L. Wiley
Aaron L. Wiley

Former DOJ attorney

Local Counsel

Roger Bach
Roger Bach

Former Special Agent (DOJ)

Chris Quick
Chris J. Quick

Former Special Agent (FBI & IRS-CI)

Michael S. Koslow
Michael S. Koslow

Former Supervisory Special Agent (DOD-OIG)

Ray Yuen
Ray Yuen

Former Supervisory Special Agent (FBI)

Who Can Help?

We represent clients in need of qui tam defense, involved in False Claim Act investigation, facing federal criminal charges, and in other legal matters.

Oberheiden, P.C. combines the knowledge and experience of former healthcare prosecutors and seasoned healthcare defense attorneys. We represent laboratories and other medical service providers throughout the country who are faced with allegations of violating anti-kickback laws.

Oberheiden, P.C.
Healthcare Compliance – Litigation – Defense
888-680-1745
www.rac-audit-defense.com
This information has been prepared for informational purposes only and does not constitute legal advice. This information may constitute attorney advertising in some jurisdictions. Reading of this information does not create an attorney-client relationship. Prior results do not guarantee similar future outcomes. Oberheiden, P.C. is a Texas PC with headquarters in Dallas. Mr. Oberheiden limits his practice to federal law.

Why Clients Trust Oberheiden P.C.

  • 95% Success Rate
  • 2,000+ Cases Won
  • Available Nights & Weekends
  • Experienced Trial Attorneys
  • Former Department of Justice Trial Attorneys
  • Former Federal Prosecutors, U.S. Attorney’s Office
  • Former Agents from FBI, OIG, DEA
  • Cases Handled in 48 States
Email Us 888-680-1745