Western Pennsylvania Hospital Stark/Whistleblower/False Claims Case Provides Real World Guidance For Medical Directors’ Contracts

Tucker Arensberg, P.C.
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Emanuele v. Medicor Associates, was presented to the United States District Court for the Western District of Pennsylvania as cross motions for summary judgment, and provides some guidance regarding the Stark requirements for bona fide personal service contracting arrangements.

The case originated as a whistleblower allegation that Hamot Hospital had not complied with all of the elements of the Stark personal service contract exceptions for medical directors’ contracts, and therefore that billing for the related services raised False Claims Act billing issues.

The Court’s opinion provides valuable guidance regarding:

  1. Allowing a “collection of documents” to satisfy the written agreement requirement.
  2. Acknowledging that fully disclosed retroactive effective dates are not fatal, and
  3. Providing actual examples of real world facts establishing the elements of materiality and scienter for FCA cases.

The opinion is attached below.

Emanuele v. Medicor

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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