Payment for Access to Patient Data May be a Violation of the AKS

The Northern District of Illinois recently found that a home health care company violated the federal Anti-Kickback Statute because the fees it paid to a community care organization for access to that company’s patient data constituted a prohibited referral. In Stop Illinois Health Care Fraud, LLC v. Asif Sayeed, et al., the plaintiff alleged that Management Principals, Inc. (MPI) violated the AKS, the federal False Claims Act, and the Illinois False Claims Act, by paying Healthcare Consortium of Illinois (HCI) to give it information about clients that HCI had evaluated for eligibility for programs run by the Illinois Department on Aging so that MPI could then market Medicare-reimbursed health care services to those clients.

Source:

• Smith Amundsen: Payment for Access to Patient Data May be a Violation of the AKS