Happy Holiday

The health team at Wolters Kluwer is out of the office for the Thanksgiving holiday. We will resume our regular posting schedule on Monday, December 1st. In the interim we invite you to check out the Food and Drug Administration’s page on food safety for a healthy holiday.

Kusserow on Compliance: Technical Difficulties & What You Missed

The editorial team at Wolters Kluwer would like to apologize for a recent technical glitch that prevented the Kusserow on Compliance Newsletter from being sent out to its subscribers. The popularity of the content proved too much for our system, and after some adjustments and additions, we’d like to let you know we are back up and running. We’ve also listed all the posts written by Richard Kusserow during the newletter’s hiatus:

Kusserow’s Corner is Now Kusserow on Compliance

Everything you have come to rely on under “Kusserow’s Corner” has now been moved to Kusserow on Compliance. Please visit us on Tuesdays and Thursdays for insight from industry leader and former HHS OIG Inspector General, Richard Kusserow. You can sign up for the Kusserow on Compliance Newsletter here.

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Father Daughter Duo to Pay $1.65M for Kickback Scheme Involving Sham Employees

Tracy Nemerofsky and her father, Stephen Nemerofsky, will pay $1.65 million to settle allegations of illegal patient referrals, according to the Department of Justice (DOJ). The two were accused of paying spouses of physicians for fake marketing jobs in order to induce patient referrals to the Nemerofskys’ home health business, A Plus. The scheme allegedly began in 2006, with its success resulting in Tracy’s salary of $685,000 in 2010 due to the increased revenue.

The DOJ noted that the home health market is heavily saturated in southern Florida, so the duo hired at least seven physicians’ spouses and one physician’s boyfriend to perform “marketing duties” for A Plus. In reality, the DOJ alleged that there were few, if any, duties and the jobs were a reward for Medicare patient referrals by the physicians. Low numbers of referrals by two physicians led to their spouses’ termination from A Plus by Tracy Nemerofsky.

“Kickback schemes undermine the integrity of our public health care programs,” said U.S. Attorney Wilfredo A. Ferrer for the Southern District of Florida. “The settlement announced today holds A Plus accountable for its submission of false claims, including restoring funds paid as a result of the false claims to Medicare.” The case began after William Guthrie, the former director of development at A Plus, brought a qui tam case against the business. The United States intervened in the case. Guthrie’s share of the settlement has not been calculated.