A New York doctor has agreed to pay the government
$127,072.34 for allegedly accepting illegal kickback payments from OK
Compounding, L.L.C., announced U.S. Attorney Trent Shores.
The U.S. Attorney’s Office in the Northern District of
Oklahoma entered into a settlement agreement with George Lehner, 46, a medical
doctor, in an effort to recoup the costs to the U.S. government resulting from
the illegal kickbacks. This civil settlement resulted from an investigation
into numerous health care providers writing prescriptions for pain creams
compounded and sold by OK Compounding in return for kickback payments.
“OK Compounding was an epicenter of criminal and civil
healthcare fraud in northeastern Oklahoma. Another week, another physician
being held accountable. My team won’t rest until they’ve rooted out the
corruption,” said U.S. Attorney Trent Shores.
Beginning in 2014 and continuing into 2015, Dr. Lehner
prescribed compounded pain creams for his patients, facilitating the sale and
distribution of the creams. As
compensation for his services, OK Compounding paid Dr. Lehner what was
characterized by the parties as “medical director fees” based upon an hourly
rate. However, the payments Dr. Lehner
received from the company were, in actuality, “kickbacks.” Because Dr. Lehner’s
patients were insured with Medicare, a federal health insurance program for
people over 65 years of age and for certain younger individuals with some
disability status, the kickbacks were in violation of the False Claims Act. It is illegal to pay or receive “kickbacks”
in conjunction with federal health care insurance.
Prohibitions against kickbacks are crucial to insure that
financial motives do not undermine the medical judgment of physicians and other
health care providers. The civil False
Claims Act is an important tool used to protect the integrity of
taxpayer-funded health care programs.
The settlement resolves allegations that Dr. Lehner had an
illegal financial relationship with OK Compounding, concerning pain creams from
April of 2014 through March of 2015.
Affirmative Civil Enforcement (ACE) refers to filing civil
lawsuits on behalf of the United States.
The purpose of these civil actions is to recover government money lost
to fraud or other misconduct or to impose penalties for violations of Federal
health, safety, civil rights or environmental laws.
To report fraud and abuse against the Federal government in
the Northern District of Oklahoma, please contact the U.S. Attorney’s Office at
918-382-2700 and speak to a member of the ACE Unit.
This settlement was the result of a coordinated effort by
Assistant U.S. Attorney Marianne Hardcastle for the Northern District of
Oklahoma; the Defense Criminal Investigative Service; Department of Labor–
Office of Inspector General (OIG), IRS– Criminal Investigation Division; U.S.
Postal Service– OIG; FBI; Department of Veterans Affairs– OIG and the
Department of Health and Human Services– OIG.
The claims resolved by the settlement are allegations only;
there has been no determination of liability.
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