South, Deputy Assistant Inspector General, Office of the Inspector General (OPM-OIG). Today’s settlement demonstrates joint commitment to investigating and prosecuting fraudulent billing practices that waste taxpayer dollars," said Thomas W.
Attorney’s Office and our law enforcement partners. "False claims that overbill the federal healthcare programs undermine the integrity of the Federal Employees Health Benefits program and increase the cost of medical care for us all.
Lampkin’s, Special Agent in Charge of VA-OIG’s Mid-Atlantic Field Office. This settlement shows that VA-OIG will continue to aggressively investigate anyone who overbills VA programs intended to care for our nation’s veterans," said Kim R. "The Department of Veterans Affairs Office of Inspector General is committed to working with our law enforcement partners to identify and investigate those who defraud or abuse VA’s healthcare system. Department of Health and Human Services, Office of Inspector General in Atlanta. Jackson, Special Agent in Charge at the U.S. These types of schemes cost federal health care programs millions of dollars and cheat taxpayers in the process," said Derrick L. "We will continue to pursue doctors that use deceptive billing practices to make more money. Carrico, Special Agent in Charge of the Knoxville Division of the Federal Bureau of Investigation. The FBI will continue to work closely with federal, state, and local partners to investigate those who abuse federally funded healthcare programs," said Joseph E. The critical resources that are removed from our health care system due to exploitation results in higher health care cost for everyone. "Healthcare fraud and abuse impacts every American. This office remains committed to ensuring that publicly funded healthcare systems are not charged more than what the billing rules prescribe," said U.S. "It is important that medical providers present appropriate and reasonable charges for services that are paid for by the taxpayers. The settlement also resolves allegations that certain Medicare and Medicaid billings during the same period included charges for exams at higher levels than appropriate.
#RETINA ASSOCIATES TUCSON CODE#
The settlement resolves allegations that, from 2009 through 2016, the practice improperly used the Modifier 25 billing code to charge Medicare and Medicaid for exams that were not separately billable from other procedures performed on the same day. Southeastern Retina Associates has over 250 employees in offices throughout eastern and middle Tennessee, northern Georgia, and southwestern Virginia. The CIA requires training, auditing and monitoring designed to address the conduct at issue in the case. Department of Health and Human Services, Office of the Inspector General (HHS-OIG), requiring the implementation of a risk assessment and internal review process designed to identify and address evolving compliance risks. – Southeastern Retina Associates ("SERA") has paid $1.5 million to resolve False Claims Act allegations in the United States District Court for the Eastern District of Tennessee.Īs part of the settlement, SERA entered into a five-year Corporate Integrity Agreement (CIA) with the U.S.
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