August 8, 2016

The Estate of Dr. Kenneth Michael Rice and Texas-based physician practice management group UMC Physicians agreed to pay roughly $3.3 million to settle charges of violating the False Claims Act for billing Medicare/Medicaid for in-person evaluation and management services at the higher physician fee rate when the services were not provided by physicians.  They also allegedly billed normal evaluation and management services to Medicare at the higher critical-care rate.  DOJ (NDTX)

Tagged in: FCA Federal, Improper Medical Personnel, Provider Fraud, Upcoding,