Feds Exhibit Continued Interest in Prosecuting Illegal Relationships Between Laboratories and Marketers

July 17, 2019

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On July 8, 2019, Anthony Camillo, owner of Allegiance Medical Laboratory and AMS Medical Laboratory, was sentenced to 30 months in prison by a federal judge in the Eastern District of Missouri. He was ordered to pay $3.4 million in restitution for violations of the anti-kickback statute, associated conspiracy charges, and illegal kickbacks related to various health care fraud schemes to defraud federal health care benefit programs. Those operating in the clinical laboratory testing space…

Health Law Advisor

Whether Worth Less or Worthless, Quality of Care Issues Under the FCA Are Worth Noting

By Audrey Davis & Clay Lee

June 6, 2019

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On February 27, 2019, Tennessee-based holding company Vanguard Healthcare, LLC (“Vanguard”), agreed to pay over $18 million to settle a False Claims Act (“FCA”) action brought by the United States and the state of Tennessee for “grossly substandard nursing home services.” The settlement stems from allegations that five Vanguard-operated facilities failed to do the following: (1) administer medications as prescribed, (2) provide standard infection control resulting in urinary tract and wound infections, (3) attend to…

Health Law Advisor

OIG Published “Work Plan” Affecting Durable Medical Equipment Industry

By Clay Lee

January 17, 2018

On January 16, 2018, the Department of Health and Human Services Office of Inspector General (OIG) published its most recent update to the agency’s “Work Plan.” Of note to Durable Medical Equipment (DME) manufacturers, suppliers and prescribers, OIG signaled increased interest in the investigation of three specific off-the-shelf orthotic devices identified by the HCPCS codes: L0648—back bracing L0650—back bracing L1833—knee bracing According to OIG, the government paid out $349 million for these braces in 2016,…

Health Law Advisor

State AGs Think Opioid Class Actions Will Be the Next “Big Tobacco” Settlement

By Clay Lee

December 20, 2017

At this point, it’s not really ground-breaking news that America has a problem with opioid drugs. By way of anecdote, when I became a federal prosecutor in 2011, the last heroin case that had been prosecuted in the Nashville U.S. Attorney’s office was in the early-1990s; although, to be fair, there were then lots of what we called “pill” cases involving opioids. When I left the office in 2017, at least half of the office’s…

Clay Lee

Feds Exhibit Continued Interest in Prosecuting Illegal Relationships Between Laboratories and Marketers

Whether Worth Less or Worthless, Quality of Care Issues Under the FCA Are Worth Noting

OIG Published “Work Plan” Affecting Durable Medical Equipment Industry

State AGs Think Opioid Class Actions Will Be the Next “Big Tobacco” Settlement

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