Billing Beneath One other's Credentials Leads to FCA Violation for Remedy Firm
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A Macon, Ga. rehab facility has been ordered to pay greater than $9.6 million in damages after a district courtroom decide dominated in favor of the federal government in a civil case alleging the fraudulent billing of a whole lot of TRICARE and Medicaid claims. The order was the results of a decide’s current ruling through which he decided that the rehab facility and one in all its house owners had been answerable for 796 false claims that had been improperly submitted to TRICARE and Medicaid. The case initially was filed by a whistleblower, a Georgia-licensed occupational therapist who labored for the rehab facility performing affected person evaluations and offering occupational remedy providers. He claimed that in his three-month employment he witnessed defendants have interaction in fraudulent enterprise practices together with billing for providers not rendered, upcoding for providers supplied, and billing for providers...