South Florida Medical Clinic Owner Sentenced To 10 Years In $42M Health Care Fraud Conspiracy

On February 11, 2022, a federal district judge in Miami sentenced Bradley Jason Kantor (“Kantor”), 49, of Key Largo, Florida, to 10 years in federal prison for submitting approximately $42 million in fraudulent health care claims to United Healthcare.

From April 2013 to March 2017, Kantor owned and operated Mobile Diagnostic Imaging, Inc. (“MDI”), a medical clinic in Davie, Florida that purported to provide antigen therapy and other allergen immunotherapy services, such as allergy testing and allergy shots, to commercial insurance beneficiaries. Kantor offered and paid kickbacks to co-conspirators to induce them to refer beneficiaries to MDI, so that MDI could bill commercial insurers for services that it never provided. MDI submitted approximately $42 million in false and fraudulent claims to United Healthcare, and United Healthcare paid MDI more than $12 million in reimbursement for services that beneficiaries never received. Kantor purchased a $3 million home in the Ocean Reef Club in Key Largo, Florida, two Winnebago motor coaches, and a 37’ yacht with the ill-gotten proceeds.

Kantor previously pled guilty to conspiracy to commit health care fraud and wire fraud, and conspiracy to commit money laundering.

Source

Another Alleged Kickback Scheme: Catholic Medical Center Agrees to Pay $3.8 Million to Resolve Kickback-Related False Claims Act Allegations

The U.S. Attorney’s Office for the District of New Hampshire announced on February 9, 2022 that Catholic Medical Center (CMC) has agreed to pay $3.8 million to resolve allegations that it violated the civil False Claims Act by providing free call coverage services to a cardiologist to induce patient referrals, in violation of the Anti-Kickback Statute. According to the settlement agreement, the United States asserted that CMC, a hospital in Manchester, New Hampshire paid its own cardiologists to cover for, and to be available to provide medical services for, another cardiologist’s patients when she was on vacation or otherwise unavailable. The United States further alleged that CMC provided these call coverage services at no charge. The cardiologist who received the free call coverage referred millions of dollars in medical procedures and services to CMC over the decade in which the free services were provided. Because CMC submitted claims for payment to Medicare, Medicaid, and other federal health care programs for the services referred by the cardiologist, the United States alleged that these claims were the result of unlawful kickbacks.

CMC did not admit liability as part of the settlement agreement.

Source

If you have information regarding false claims having been submitted to Medicare, Medicaid, TRICARE, other federal health care programs, or to other federal agencies/programs, and the information is not publicly known and no actions have been taken by the government with regard to recovering the false claims, you should promptly consult with a False Claims Act attorney (also known as qui tam attorneys) in your U.S. state who may investigate the basis of your False Claims Act allegations and who may also assist you in bringing a qui tam lawsuit on behalf of the United States, if appropriate, for which you may be entitled to receive a portion of the recovery received by the U.S. government.

Visit our website or call us toll-free in the United States at 800-295-3959 to be connected with qui tam lawyers (False Claims Act lawyers) in your U.S. state who may assist you with a False Claims Act lawsuit.

Turn to us when you don’t know where to turn.

This entry was posted on Friday, April 8th, 2022 at 5:22 am. Both comments and pings are currently closed.

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