Dr. Llewelyn Simon, an internal medicine physician from Monroe, Louisiana, has agreed to pay the United States $640,000 to resolve allegations that he accepted payments for referrals of home health patients. Dr. Simon served as a medical director for the now defunct United Home Care home health agency and in that capacity, received monthly payments. The United States alleged that the medical director fees exceeded the fair market value of the services provided by Simon and that the excess fees were for referrals of patients, many of whom were Medicare beneficiaries. Congress passed the Anti-Kickback Statute to prevent financial incentives from improperly influencing medical decision-making which can lead to excessive and unnecessary services. Specifically, the Anti-Kickback Statute prohibits offering or paying anything of value to induce the referral of items or services covered by federal healthcare programs.
