NASHVILLE — A Clarksville, Tennessee clinic has agreed to pay $300,000 to the United States to settle allegations that it violated the False Claims Act by excessively billing TRICARE for certain billing codes.
Pitts Therapies, LLC, doing business as Cornerstone Pediatric Therapies, allegedly submitted false claims to TRICARE in two categories. First, the clinic billed TRICARE for two units of a billing code per day, per beneficiary, when only one unit of that code per day, per beneficiary, was allowed, from 2020 through October 2022. Second, the clinic billed TRICARE for two different billing codes for certain services, when only one such code was payable, from 2020 through mid-2025.
TRICARE is the government health program that was allegedly defrauded in this case. The Defense Health Agency supports the delivery of TRICARE, the program that provides integrated, affordable, high-quality healthcare services to more than 9.6 million uniformed service members, retirees, and their families.
“Our office will always seek to protect taxpayer dollars from false claims,” said United States Attorney Braden H. Boucek. “This resolution means that the taxpayers will get their money back and sends a message that these kinds of false claims will not be tolerated in our community.”
The civil claims settled by this Settlement Agreement are allegations only, and there has been no determination of liability. The resolution of this matter was the result of an investigation by the Defense Criminal Investigative Service, assisted by the Army Criminal Investigative Division, and the U.S. Attorney’s Office. Assistant U.S. Attorney Ellen Bowden McIntyre represented the United States.
Pitts Therapies, LLC, doing business as Cornerstone Pediatric Therapies, is a clinic in Clarksville, Tennessee, that provides pediatric therapy, including speech therapy, to children who are autistic, non-verbal, or speech-delayed.
The clinic has agreed to pay $300,000 to the United States to settle allegations that it violated the False Claims Act. The settlement is the result of an investigation by the Defense Criminal Investigative Service, assisted by the Army Criminal Investigative Division, and the U.S. Attorney’s Office.
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Key Facts
- State: Tennessee
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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