Riverside doctor settles in false claims case

A Riverside doctor and his practice recently agreed to pay $300,000 to settle allegations under the False Claims Act, according to Deirdre M. Daly, acting United States Attorney for the District of Connecticut.

Jun Xu, M.D., and his professional corporation, Rehabilitation Medicine and Acupuncture Center M.D., LLC.,  have entered into a civil settlement with the government to resolve allegations that Dr. Xu violated the act.

Ms. Daly explained that the allegations against Dr. Xu involve fraudulent billing to Medicare for physical therapy services. The government alleged that Dr. Xu submitted claims to Medicare for physical therapy services that were medically unnecessary and/or not performed in accordance with Medicare requirements.

Specifically, the government alleged that Dr. Xu billed Medicare for one-on-one physical therapy services when the physical therapist was, in fact, providing group therapy, and that he submitted claims to Medicare for therapy services that were rendered by massage therapists.

Medicare regulations explicitly state “the services of…  massage therapists…  may not be billed as therapy services.”

To resolve their liability under the False Claims Act, Dr. Xu and his practice paid $300,000 in order to reimburse the Medicare programs for conduct occurring during the time period Jan. 1, 2007, through Dec. 31, 2009. In entering into the settlement agreement, they did not admit liability.

“Health care providers that overcharge Medicare drain critical funds from the Medicare program and increase health care costs,” Ms. Daly stated. “The U.S. Attorney’s office is committed to vigorously pursuing physicians and other health care providers who submit fraudulent claims to federal health care programs. Providers who submit false claims to the government face serious monetary and administrative sanctions.”

Ms. Daly encourages individuals who suspect health care fraud to call 203-777-6311 or 800-HHS-TIPS.

By participating in the comments section of this site you are agreeing to our Privacy Policy and User Agreement

© Hersam Acorn. All rights reserved. The Greenwich Post, 10 Corbin Drive, Floor 3, Darien, CT 06820

Designed by WPSHOWER

Powered by WordPress