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GlycoMark Settles False Claims Act Allegations

The blood test distributor agrees to pay $ 195,000 to settle allegations that it violated the FCA. The U.S. Department of Health and Human Services Office of Inspector General (OIG) lately conducted an investigation into False Claims Act (FCA) violations by GlycoMark, Inc. The OIG alleges that GlycoMark encouraged providers to submit claims for its hyperglycemia […]

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AAPC Knowledge Center

Indiana system to pay $2.9M to settle Medicaid overbilling allegations

https://www.beckershospitalreview.com/legal-regulatory-issues/indiana-system-to-pay-2-9m-to-settle-medicaid-overbilling-allegations.html

Fort Wayne, Ind.-based Parkview Health System has agreed to pay $ 2.9 million to settle allegations it overbilled Medicaid between January 2017 and March 2021.

Improper revenue codes were submitted to Medicaid for certain blood-clotting tests performed on patients at several Parkview hospitals, according to a Sept. 27 news release from the Indiana Attorney General’s Office.

Attorney General Todd Rokita said Parkview cooperated with the office when the overbilling was brought to its attention.

The post Indiana system to pay $ 2.9M to settle Medicaid overbilling allegations appeared first on The Coding Network.

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Pain Doctor Pays to Settle Allegations of Deceptive Medicare Billing

Pain doctor pays to settle allegations of deceptive Medicare billing.

A 52-year-old pain management physician from Houston has paid $ 530,000 to resolve allegations he falsely billed Medicare for the use of electro-acupuncture devices, announced U.S. Attorney Ryan K. Patrick.

From March 1, 2019, to Oct. 31, 2019, Dr. Syed Nasir billed Medicare for the implantation of neurostimulator electrodes–a surgical procedure that usually requires use of an operating room.

The post Pain Doctor Pays to Settle Allegations of Deceptive Medicare Billing appeared first on The Coding Network.

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Medicare Advantage Supplier and Doctor to Pay $5 Million to Settle False Claims Act Allegations

Beaver Medical Group L.P. (BMG) and a doctor who works for it, Dr. Sherif Khalil, have agreed to pay a little over the amount of $ 5 million to resolve accusations that they falsely reported diagnosis codes to plans of Medicare Advantage, thereby causing said plans to receive inflated payments. BMG is headquartered in Redlands, CA. “The United States relies on healthcare providers to submit accurate diagnosis data to Medicare Advantage plans to ensure those plans receive the appropriate compensation,” said Jody Hunt, Assistant Attorney General of the DOJ’s Civil Division. “We will pursue those who undermine the integrity of the Medicare program and the data it relies upon.”

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Company Carolina Physical Therapy Will Pay almost $800K to Settle False Billing Allegations

US Attorney Sherri A. Lydon made the announcement that the US Attorney’s Office for South Carolina has settled numerous claims of prolific health care fraud with Carolina Physical Therapy (also called “Carolina PT” for short).  The company in question was a chain of nearly ten physical therapy practices headquartered in and around Columbia, Irmo, Lexington, Sumter, and Mount Pleasant.

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Feds to sue Senator Steve Dickerson and other Pain Clinic proprietors over Forgery and Fraud Allegations

Federal and State Prosecutors are moving to file lawsuits charging Tennessee Senator Steve Dickerson and different proprietors of an immense Pain Management corporation of cheating the US Government with long stretches of unjustified tests, untrustworthy charging, and forged documents.

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Cardiovascular Associates, P.C. Consents to Pay the United States Over $399,000 to Settle False Claims Act Allegations Relating to Improper Billing Practices

Cardiovascular Associates, P.C. has consented to pay $ 399,230.35 to settle asserts that they submitted false cases to the United States for administrations not rendered. Cardiovascular Associates P.C. is a therapeutic practice with workplaces situated in Rockville, Olney, Laurel and Germantown, Maryland.

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Tree Based Physicians Group and Neurologist Agree to Pay Almost One Million Dollars to Resolve False Claims Act Allegations

Jefferson Medical Associates, a now broke down, multi-strength restorative practice bunch in Laurel, and Dr. Aremmia Tanious, have consented to pay the United States $ 817,635.06 to determine asserts under the False Claims Act emerging from Medicare excessive charges to Jefferson Medical Associates and Dr. Tanious, reported U.S. Lawyer Mike Hurst.

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CareWell Urgent Care Center Agrees to Pay $2 Million to Resolve Allegations of False Billing of Government Health Care Programs

The United States Attorney’s Office reported today that CareWell Urgent Care Centers of MA, P.C., CareWell Urgent Care of Rhode Island, P.C., and Urgent Care Centers of New England Inc. (CareWell), the proprietors and administrators of earnest consideration focuses situated all through Massachusetts and Rhode Island, have consented to pay $ 2 million to determine charges that they abused the False Claims Act by submitting swelled and upcoded cases to Medicare, Massachusetts Medicaid (MassHealth), the Massachusetts Group Insurance Commission (GIC), and Rhode Island Medicaid.

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Lee County Ambulance Service and its Director Agree to Pay $253,930 to Resolve Allegations of False Claims to Medicare

The Lee County Fiscal Court (“Lee County”) and the previous executive of its emergency vehicle administration, Joseph Broadwell, have consented to determine common charges that Lee County Ambulance abused the False Claims Act, a bureaucratic law that disallows the accommodation of false or deceitful cases, consenting to pay $ 253,930 to the national government.

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