A physician from Vermont has agreed to pay $76,000 to the United States to resolve allegations that she violated the federal False Claims Act by knowingly presenting false claims for payment to Medicare and Medicaid.
Lynn E. Madsen, M.D., of Townshend, Vermont, allegedly presented hundreds of false claims for payment to the Medicare and Medicaid programs from November 1, 2013, to November 30, 2015. The claims were for trigger point injections, a pain management procedure, that were not reasonable and medically necessary.
According to the United States, the trigger point injections performed by Dr. Madsen consisted solely of saline or saline-based anthroposophic injectates that were devoid of any approved therapeutic agent and not considered reasonable and medically necessary under applicable Medicare and Medicaid laws, regulations, and program limitations.
The settlement resolves the allegations without the need for litigation. Pursuant to the terms of the settlement agreement, the agreement and payment are neither an admission of liability by Dr. Madsen, nor a concession by the United States that its claims were not well founded.
The investigation was conducted by the United States Attorney’s Office for the District of Vermont and the Office of the Inspector General of the Department of Health and Human Services, with assistance from the Medicaid Fraud and Residential Abuse Unit of the Vermont Attorney General’s Office.
Assistant United States Attorney Ben Weathers-Lowin handled the matter on behalf of the United States. Dr. Madsen was represented by Ian P. Carleton of the law firm Sheehey, Furlong & Behm, P.C.
The $76,000 payment will be divided between the federal Medicare, federal Medicaid, and Vermont Medicaid programs to which Dr. Madsen submitted the alleged false claims.
The exact criminal charges are violation of the federal False Claims Act, 31 U.S.C. § 3729, by knowingly presenting, or causing to be presented, false claims for payment to Medicare and Medicaid.
Dr. Madsen’s city and state is Townshend, Vermont.
The exact date of the crime is from November 1, 2013, to November 30, 2015.
The sentence or outcome is a payment of $76,000 to resolve the allegations.
The dollar amounts are $76,000.
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Key Facts
- State: Vermont
- Category: White Collar Crime
- Source: DOJ Press Release â†â€â€
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