Dr. James M. Crumb and Coastal Neurological Institute, P.C., a Mobile-based physician group, have been accused of violating federal health care programs by engaging in fraudulent schemes to maximize payment from the Medicare, Medicaid, and TRICARE programs.
According to a recent settlement, Dr. Crumb and Coastal Neurological Institute, P.C. collectively paid $1.4 million to resolve allegations that they billed for medically unreasonable and unnecessary services, including ultrasound guidance used with routine lab blood draws and Botox injections.
Acting United States Attorney Steve Butler stated, ‘Our office will protect federal health care programs by pursuing providers who bill for medically unreasonable and unnecessary services and engage in fraudulent billing practices to seek payments to which they are not entitled.’
The United States Attorney’s Office filed a civil lawsuit against Dr. Crumb, Coastal Neurological Institute, P.C., and Mobility Metabolism and Wellness, P.C. in late December 2015, on behalf of the Department of Health and Human Services and the Department of Defense.
The complaint alleged that Dr. Crumb and Coastal Neurological Institute, P.C. knowingly billed federal health care programs for medically unreasonable and unnecessary ultrasound guidance used with routine lab blood draws, and with Botox and trigger point injections.
The investigation and litigation were conducted by the Office of Inspector General, Department of Health and Human Services (OIG-HHS), and the U.S. Attorney’s Office. Assistant United States Attorneys Deidre Colson and Daryl Atchison handled the case on behalf of the United States.
As part of the settlement, Dr. Crumb entered into a Corporate Integrity Agreement with OIG-HHS, which obligates him to undertake substantial internal compliance reforms and to submit his federal health care program claims to independent review for the next three years.
The FCA claims settled are allegations only, and there has been no determination of liability.
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Key Facts
- State: Alabama
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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