Three Texas healthcare providers have agreed to pay a collective $1,056,340.50 to resolve liability under the False Claims Act for allegedly improperly billing electro-acupuncture devices to Medicare and TRICARE.
Dr. Harold Ledger, DPM, of Harker Heights, through his practice, Ledger Foot & Ankle, P.A., billed Medicare for the application of ANSiStim devices to beneficiaries as though they were implantable neurostimulators. Certain Medicare beneficiaries were identified as also having TRICARE benefits that were further billed to the program as the secondary insurer.
The improper billing occurred between February 2018 and January 2020. Dr. Ledger will pay a total of $535,000.00 to resolve his liability under the False Claims Act.
Dr. Yurii Borshch, through his practice Precision Spine and Pain Management, billed Medicare for the application of ANSiStim devices to beneficiaries as though they were implantable neurostimulators. The improper billing occurred between March 1 and April 2019. Dr. Borshch initiated refund payments to Medicare for the identified claims and paid a total of $183,190.00 to resolve potential liability under the False Claims Act.
SUPERIOR Physical Medicine of Round Rock billed Medicare for the application of ANSiStim and STIVAX devices as though they were implantable neurostimulators. The improper billing occurred between December 2016 and September 2018. Superior self-disclosed claims improperly billed and has agreed to pay a total of $338,150.50 to resolve any potential liability under the False Claims Act.
The U.S. Department of Health and Human Services Office of the Inspector General investigated the matters. All three settlements were negotiated on behalf of the government by Assistant U.S. Attorney Erin M. Van De Walle.
The settled civil claims are allegations only and do not constitute admissions of liability by any of the identified practitioners.
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Key Facts
- State: Texas
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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