PITTSBURGH – Dr. Robert Fetchero, D.O., of Jeannette,
Pennsylvania, Dr. Sridhar Pinnamaneni, M.D., of Windermere, Florida, and Dr.
Thelma Green-Mack, M.D., of Zionsville, Indiana, separately agreed to settle
allegations that they each received improper payments for referrals from
Greensburg, Pennsylvania drug testing lab Universal Oral Fluid Laboratories,
and caused false claims to be submitted to Medicare for drug testing services,
United States Attorney Scott W. Brady announced today. These settlements follow
the earlier guilty plea on related charges of Dr. John H. Johnson of
Hollidaysburg, Pennsylvania, who had served as UOFL’s medical director.
The settlements announced today resolve allegations that the
settling physicians referred Medicare patients to Universal Oral Fluid
Laboratories ("UOFL") for drug testing services while engaged in a
financial relationship with the lab. Specifically, UOFL paid the settling
physicians to refer their patients to the lab for drug tests; UOFL then
submitted claims to Medicare for the drug testing services from 2011 to 2014.
UOFL was owned and operated by William Hughes. The United States alleged that
the financial arrangement between the settling physicians and UOFL violated the
physician self-referral law, commonly known as the "Stark Law," and
the Anti-Kickback Statute, giving rise to liability under the False Claims Act.
Pursuant to separately executed settlement agreements, Dr. Fetchero agreed to
pay $200,000; Dr. Pinnamaneni agreed to pay $370,000; and Dr. Green-Mack agreed
to pay $130,000.
The Stark Law forbids physicians from making referrals for
certain designated health services payable by Medicare to an entity with which
he or she (or an immediate family member) has a financial relationship, unless
an exception applies. The Anti-Kickback Statute prohibits offering, paying,
soliciting, or receiving remuneration to induce referrals of services covered
by federal health care programs, such as Medicare. Violations of the Stark Law
or Anti-Kickback Statute may give rise to civil liability for treble damages
and penalties under the False Claims Act.
"The integrity of the relationship between patients and
their doctors is sacrosanct. A physician’s medical judgment should never be
compromised by improper financial incentives," said United States Attorney
Scott W. Brady. "We will continue to hold healthcare providers accountable
when they enter into financial arrangements that violate the law."
These matters were investigated by the Federal Bureau of
Investigation, the Office of Inspector General of the United States Department
of Health and Human Services, and the Internal Revenue Service Criminal
Investigation Division. Assistant United States Attorneys Rachael L. Mamula and
Paul E. Skirtich handled the investigations that led to the settlements on
behalf of the United States.
The claims resolved by the settlements are allegations only,
and there has been no determination of liability.
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