Healogics, a Florida-based provider of wound care services with clinics across the country, has been exposed for ripping off Medicare for nearly $400,000.
The nationwide wound services provider agreed to pay $398,162.69 to resolve False Claims Act allegations pertaining to improper coding.
Specifically, the United States alleged that, from January 1, 2012, through June 30, 2017, Healogics submitted claims to Medicare, Medicaid, and Tricare using Modifier 25 to signify that a separate evaluation and management service was performed on the same date as another procedure when no such separate service was performed.
A private citizen, who filed a qui tam, or whistleblower, lawsuit raising the civil allegations, will receive a share of the recovery.
Healogics agreed to pay the citizen’s law firm an additional $48,694.37 in fees, and the private citizen is also entitled to receive $91,577.42 of the recovery pursuant to the qui tam provisions of the False Claims Act.
“This is yet another example of our office’s commitment to ensuring taxpayer money is well spent and health care providers play on a level playing field,” said United States Attorney Peter E. Deegan, Jr.
The case was investigated by the Department of Health and Human Services Office of Inspector General. The case file number is 16-cv-3016-MWB.
The claims settled by this agreement are allegations only, and there has been no determination of liability.
Related Federal Cases
- Amgen Pays $71M for Pushing Drugs Off-Label · Washington
- FDIC Appoints Five New Members to Advisory Committee on Community Banking · Mississippi
- Live Nation Faces Trial Over Monopoly Practices · Washington
- Waterloo Man Pleads Guilty To Child Porn Distribution · Iowa
- Iowa Felon Billy Thorne Convicted of Firearm Possession · Iowa
Key Facts
- State: Iowa
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
ðŸâ€Â’ Get the grimiest stories delivered weekly. Subscribe free →
MORE FEDERAL CRIME NEWS
US NewsUS NewsUS NewsUS News