Adventist health settlement

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According to court documents, Adventist Health allegedly violated the False Claims Act by compensating certain physicians with illegal kickbacks in exchange for referring patients to White Memorial Medical Center. Hector Luque and Dr. Alejandro Gonzalez, consulted with a False Claims Act attorney and filed a complaint against the hospital. Adventist Health System is headquartered in Roseville, California. The company operates 19 hospitals and clinics located in the states of California, Oregon, Washington and Hawaii.

It is staffed by approximately doctors and an additional 1, employees. Founded by the Seventh-day Adventist Church, White Memorial is one of the largest non-profit hospitals in the country. These laws prohibit any financial relationships between hospitals and physicians who refer patients to their facilities. The Anti-Kickback Act Prohibits the payment, enticement and reward of patient referrals, along with the generation of Federal Healthcare program business.

The Stark Law prohibits a physician from referring Medicare patients for certain health services to any business or entity with which the doctor has a financial relationship. Recent cases demonstrate that prompt and thorough corrective action can be very beneficial when these types of matters are resolved. In any event, identified overpayments must be promptly returned to the government. All Perspectives from Alerts. Linkedin Twitter Youtube.

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How can we help you? October 5, Share This Page Email. Allegations Resolved by the Settlement Agreement The settlement agreement resolves allegations contained in two qui tam complaints.

Related Industries Health Care.

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Losses suffered by the hospitals were due in large part to overcompensation of physicians, the complaint said. Adventist hospitals allegedly:. Payne, Church and Pryor also thanked their families for their support and encouragement to do the right thing by pursuing their qui tam lawsuit for the past three years.

Whistleblowers are rewarded with 15 percent to 25 percent of the recovery when the government joins the case. Payne , Church and Pryor v.

Adventist Health System-Sunbelt, Inc. We have been recognized for our work by numerous national awards.

Confidential, Free Case Review. September 21, Let us help you. Jackson of the U. The act permits private parties to file suit on behalf of the United States for false claims, and to share in any recovery. The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation. One of the most powerful tools in this effort is the False Claims Act. The cases, United States ex rel.

Payne, et al. C , and United States ex rel. Dorsey v. The claims settled by this agreement are allegations only, and there has been no determination of liability. Justice News Department of Justice.