April 8, 2021

South Carolina’s largest urgent care provider, Doctors Care, P.A., and its management company, UCI Medical Affiliates of South Carolina, Inc. (UCI), have agreed to pay $22.5 million and enter into a Corporate Integrity Agreement to resolve a whistleblower suit alleging violations of the False Claims Act.  From 2013 to 2018, UCI allegedly submitted false claims to Medicaid, Medicare, and TRICARE by linking services rendered by Doctors Care providers who lacked proper billing credentials—which are separate from a degree or license to practice medicine—to providers who did hold the proper credentials.  Under the Corporate Integrity Agreement, UCI will retain an independent claims reviewer for the next five years.  USAO SC

Tagged in: FCA Federal, Healthcare Fraud, Medical Billing Fraud, Whistleblower Case,