No. 23-139

United States, ex rel. Shannon Martin, M.D., et al. v. Darren Hathaway, M.D., et al.

Lower Court: Sixth Circuit
Docketed: 2023-08-15
Status: Denied
Type: Paid
Response Waived
Tags: anti-kickback-statute false-claims-act federal-health-care-program government-claims healthcare-fraud liability remuneration statutory-interpretation
Key Terms:
SocialSecurity
Latest Conference: 2023-09-26
Question Presented (AI Summary)

Does the term 'remuneration' under the Anti-Kickback Statute encompass solicitation or receipt of any kind of reward or compensation, or is it limited to payments and other transfers of value?

Question Presented (OCR Extract)

QUESTIONS PRESENTED The Anti-Kickback Statute (AKS) prohibits solicitation or receipt of “any remuneration (including any kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind” in return for referring an individual to a person for furnishing items or services under a Federal health care program. 42 U.S.C. §1320a-7b(b)(1)(A). The False Claims Act (FCA), 31 U.S.C. §3729, et seq., establishes criminal and civil penalties for knowingly presenting, or causing to be presented, a false or fraudulent claim to the government for payment or approval. FCA liability can attach when a defendant submits a claim for payment and fails to disclose noncompliance with a statutory requirement, such as the AKS. In 2010, Congress enacted 42 U.S.C. §1320a-7b(g), which provides “a claim that includes items or services resulting from a violation [of the AKS] constitutes a false or fraudulent claim for purposes of [the FCA].” The questions presented are: 1. Does the term “remuneration” under the AntiKickback Statute encompass solicitation or receipt of any kind of reward or compensation, or is it limited to payments and other transfers of value? 2. Does 42 U.S.C. §1320a-7b(g) heighten the standard for establishing liability under the False Claims Act for actions predicated on an Anti-Kickback Statute violation?

Docket Entries

2023-10-02
Petition DENIED.
2023-08-23
DISTRIBUTED for Conference of 9/26/2023.
2023-08-21
Waiver of right of respondents Darren Hathaway, M.D., et al. to respond filed.
2023-08-18
Waiver of right of respondent Ella E. M. Brown Charitable Circle d/b/a Oaklawn Hospital to respond filed.
2023-08-11
Petition for a writ of certiorari filed. (Response due September 14, 2023)

Attorneys

Darren Hathaway, M.D. and South Michigan Ophthalmology, P.C.
Mary MassaronPlunkett & Cooney, P.C., Respondent
Mary MassaronPlunkett & Cooney, P.C., Respondent
Ella E. M. Brown Charitable Circle d/b/a Oaklawn Hospital
Mark John MagyarDykema Gossett PLLC, Respondent
Mark John MagyarDykema Gossett PLLC, Respondent
United States Ex Rel. Shannon Martin, M.D., et al.
Alan Joseph GochaBodman PLC, Petitioner
Alan Joseph GochaBodman PLC, Petitioner