$1.85 Million Paid to Settle Urology Modifier 25 Whistleblower Case

Separately asking routine evaluation and management (E/M) services provided on a similar day as another procedure is usually denied by Medicare. Care providers might typically individually bill E/M services if [...]

By |2020-04-13T18:08:11+00:00July 19th, 2019|

DOJ Pursues a Number Of EHR Cases: Five Things For You to Understand

The United States DOJ is initiating direct legal proceedings against Hospitals, Health Care systems, and Medical Technology Corporations for submitting an exhaustive number of false claims to both Medicare and [...]

By |2020-04-13T18:08:30+00:00June 21st, 2019|

Kansas Doctor Forks Over Almost 6 Million in Settling 3rd False Claims Case in Twenty Years

Joseph P. Galichia MD, the previous owner of the Wichita-based Galichia Medical, after quite some time, reached Fraud Claim Act settlements with the Feds in 2000 and 2009 amounting to [...]

By |2020-04-13T18:08:51+00:00June 19th, 2019|

Florida Physicians and Practice Settle False and Fraudulent Claims Case

Jaime L. Sepulveda, MD, LLC (d/b/a Miami Urogynecology Center), Jaime L. Sepulveda, M.D., and Sujata Yavagal, M.D. (collectively, "Miami Urogynecology Center"), South Miami, Florida, entered into a $173,768.08 settlement agreement [...]

By |2020-04-13T18:26:42+00:00June 18th, 2019|

Connecticut Diagnostic Services Provider Settles Case Involving False Claims

On November 19, 2018, Southern Connecticut Vascular Center, LLC (SCVC), Stratford, Connecticut, entered into a $792,076.76 settlement agreement with OIG. The settlement agreement resolves allegations that SCVC submitted claims for Healthcare [...]

By |2020-04-13T18:26:56+00:00June 14th, 2019|