Southeast Texas Record

Wednesday, January 29, 2020

Texas nursing chain to pay $3M to resolve kickback allegations

By David Yates | Dec 2, 2015

HOUSTON – Regent Management Services L.P. has agreed to pay approximately $3.199 million to settle allegations that it received kickbacks from various ambulance companies in exchange for rights to its more lucrative Medicare and Medicaid transport referrals.

Several government officials, including U.S. Attorney Kenneth Magidson, made the announcement on Nov. 30.

Regent Management Services L.P. is headquartered in Galveston and manages 12 separately owned and operated nursing facilities including 11 in seven Texas cities.

The settlement is believed to be the first in the nation to hold accountable medical institutions (hospitals and skilled nursing facilities) rather than ambulance companies for these kind of ambulance “swapping” arrangements, according to a press release.

“This resolution is part of the government’s emphasis on combating health care fraud throughout the district and is an example of our determination to hold those accountable for their actions,” said Magidson. “Any type of improper behavior or arrangement in the industry is a serious allegation that we will not take lightly and we will pursue in order to protect the integrity of the health care system.”

The Anti-Kickback Statute prohibits offering, paying, soliciting or receiving remuneration to induce referrals of items or services covered by federal health care programs, including Medicare and Medicaid.

The settlement resolves allegations that patients at Regent facilities received free or heavily discounted ambulance transports from various ambulance companies in exchange for Regent’s referral of other lucrative Medicare and Medicaid business to those same companies.

If not for this kickback arrangement, Regent would have been financially responsible for the patient transports at significantly higher rates, the press release states.

“This settlement sends a message to the health care industry that both sides of a swapping arrangement can be held responsible for their improper actions, not just the entity that actually bills Medicare or Medicaid for the services,” said Gregory Demske, chief counsel to the inspector general. “Any company or individual considering entering such schemes should understand that their actions may have serious legal and financial consequences.”

Medicaid is funded jointly by the states and the federal government. The state of Texas paid for some of the Medicaid claims at issue and will receive approximately $533,000 of the settlement amount.

The settlement was the result of a coordinated effort among the U.S. Attorney’s Office, Office of Counsel to the Inspector General and the Texas Attorney General’s Office.

Assistant U.S. Attorney Kenneth Shaitelman handled the case on behalf of the U.S. Attorney’s Office for the Southern District of Texas.

The claims resolved by this settlement are allegations only, and there has been no determination of liability.

Want to get notified whenever we write about ?

Sign-up Next time we write about , we'll email you a link to the story. You may edit your settings or unsubscribe at any time.