Which health care fraud acts or statutes apply to the following case: False Claims Act -1986, Anti-Kickback Statute -1987, Ethics in Patient Referral Act-1989 or HIPPA-1989 Physician Dr. Vijesh Patel and his office manager and wife Laju Patel, both of Port Neches, Texas, have agreed to pay $422,789 to resolve false claims allegations involving New Jersey, Texas and South Carolina Laboratories. The Department of Justice, in a press release, said that the couple received remuneration in return for referring patients for laboratory testing. Additionally, both have “agreed to cooperate with DOJ’s investigations of, and litigation against, other participants in the alleged schemes,” the press release added. In the Dec. 14 settlement, the DOJ listed the three laboratories where the couple sent referrals. Dr. Patel allegedly received thousands of dollars in payments from December 2016 to July 2018, “from Indus MG LLC, a purported management service organization, in return for ordering laboratory tests from True Health Diagnostics LLC (True Health), a clinical laboratory in Frisco, Texas,” the DOJ said. The payments made to Dr. Patel by Indus “allegedly were disguised as investment returns, but were in fact based on, and offered in exchange for, his referrals to True Health.” In New Jersey, Dr. Patel allegedly received thousands of dollars in payments from August 2018 to August 2021, disguised as investment returns from Avior Group LLC, in return for ordering laboratory tests from RDx Bioscience, Inc., a clinical laboratory in Kenilworth, New Jersey.” The DOJ said. “RDx allegedly funded remuneration to Dr. Patel in the form of volume-based commissions paid to an independent contractor recruiter, Corum Group LLC, which used an associated company, Avior, to pay kickbacks to Dr. Patel and other physicians in return for their referrals.” In addition, Laju Patel allegedly received kickbacks from RDx, from December 2018 to August 2022, “in the form of commercially unreasonable fees to purportedly collect urine specimens for testing that Dr. Patel referred to RDx.”
Which health care fraud acts or statutes apply to the following case: False Claims Act -1986, Anti-Kickback Statute -1987, Ethics in Patient Referral Act-1989 or HIPPA-1989
Physician Dr. Vijesh Patel and his office manager and wife Laju Patel, both of Port Neches, Texas, have agreed to pay $422,789 to resolve false claims allegations involving New Jersey, Texas and South Carolina Laboratories. The Department of Justice, in a press release, said that the couple received remuneration in return for referring patients for laboratory testing. Additionally, both have “agreed to cooperate with DOJ’s investigations of, and litigation against, other participants in the alleged schemes,” the press release added.
In the Dec. 14 settlement, the DOJ listed the three laboratories where the couple sent referrals. Dr. Patel allegedly received thousands of dollars in payments from December 2016 to July 2018, “from Indus MG LLC, a purported management service organization, in return for ordering laboratory tests from True Health Diagnostics LLC (True Health), a clinical laboratory in Frisco, Texas,” the DOJ said. The payments made to Dr. Patel by Indus “allegedly were disguised as investment returns, but were in fact based on, and offered in exchange for, his referrals to True Health.”
In New Jersey, Dr. Patel allegedly received thousands of dollars in payments from August 2018 to August 2021, disguised as investment returns from Avior Group LLC, in return for ordering laboratory tests from RDx Bioscience, Inc., a clinical laboratory in Kenilworth, New Jersey.” The DOJ said. “RDx allegedly funded remuneration to Dr. Patel in the form of volume-based commissions paid to an independent contractor recruiter, Corum Group LLC, which used an associated company, Avior, to pay kickbacks to Dr. Patel and other physicians in return for their referrals.” In addition, Laju Patel allegedly received kickbacks from RDx, from December 2018 to August 2022, “in the form of commercially unreasonable fees to purportedly collect urine specimens for testing that Dr. Patel referred to RDx.”
This case involves Dr. Vijesh Patel and his office manager and wife Laju Patel, both of Port Neches, Texas, who have agreed to pay $422,789 to resolve false claims allegations involving New Jersey, Texas and South Carolina Laboratories. The Department of Justice has accused the couple of receiving remuneration in return for referring patients for laboratory testing, which would constitute violations of the False Claims Act of 1986, the Anti-Kickback Statute of 1987, and the Ethics in Patient Referral Act of 1989.
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