‹ All episodes

Monitor Mondays

The Anatomy of Fraud: Kickbacks and 64,000 False Claims

March 13, 2023 Ronald Hirsch, MD | Knicole Emanuel, Esq. | David Glaser, Esq. | Cate Brantley, JD | Mary Inman, Esq. | John Zelem, MD Season 13 Episode 537
Monitor Mondays
The Anatomy of Fraud: Kickbacks and 64,000 False Claims
Chapters
Chapters
1:12
Ronald Hirsh, MD
4:59
Knicole Emanuel, Esq.
10:55
ACPA Commercial
11:49
David Glaser, Esq.
16:43
Cate Brantley
20:52
Mary Inman, Esq.
25:54
RACmonitor Commercial
26:53
Chat with John Zelem, MD
Info
Monitor Mondays
The Anatomy of Fraud: Kickbacks and 64,000 False Claims
Mar 13, 2023 Season 13 Episode 537
Ronald Hirsch, MD | Knicole Emanuel, Esq. | David Glaser, Esq. | Cate Brantley, JD | Mary Inman, Esq. | John Zelem, MD

Famed whistleblower attorney Mary Inman will return to the Monitor Mondays weekly Internet radio broadcast this coming Monday to report on a unique case in which a jury found that Precision Lens and its owner, Paul Ehlen, illegally paid kickbacks to ophthalmic surgeons to induce their use of the company’s products in cataract surgeries reimbursed by Medicare.

The company was found to have submitted more than 64,000 false claims to Medicare, costing the program about $43 million in single damages. Precision Lens was found to have violated both the Anti-kickback Statute and the False Claims Act, which allows private individuals like the whistleblower in this case to sue in the name of the United States, alleging that the federal government has been defrauded.

Broadcast segments will also include these instantly recognizable features:

  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.

  • The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.

  • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.

  • Legislative Update: Cate Brantley, legislative affairs analyst for Zelis, will report on current healthcare legislation.

  • The Wrapper: John Zelem, founder and CEO of Streamline Consulting Solutions, will join the broadcast for a wrap-up on the morning’s top stories.
Share
Apple Podcasts Spotify Amazon Music Podcast Index Overcast Stitcher +
Show Notes Chapter Markers

Famed whistleblower attorney Mary Inman will return to the Monitor Mondays weekly Internet radio broadcast this coming Monday to report on a unique case in which a jury found that Precision Lens and its owner, Paul Ehlen, illegally paid kickbacks to ophthalmic surgeons to induce their use of the company’s products in cataract surgeries reimbursed by Medicare.

The company was found to have submitted more than 64,000 false claims to Medicare, costing the program about $43 million in single damages. Precision Lens was found to have violated both the Anti-kickback Statute and the False Claims Act, which allows private individuals like the whistleblower in this case to sue in the name of the United States, alleging that the federal government has been defrauded.

Broadcast segments will also include these instantly recognizable features:

  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.

  • The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.

  • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.

  • Legislative Update: Cate Brantley, legislative affairs analyst for Zelis, will report on current healthcare legislation.

  • The Wrapper: John Zelem, founder and CEO of Streamline Consulting Solutions, will join the broadcast for a wrap-up on the morning’s top stories.
1:12
4:59
Knicole Emanuel, Esq.
10:55
11:49
David Glaser, Esq.
16:43
20:52
Mary Inman, Esq.
25:54
26:53
Chat with John Zelem, MD