Long Island’s Zwanger-Pesiri Radiology to Pay Over $10 Million Over Allegations of Medicare and Medicaid Fraud
By a
The settlement with Zwanger resolves a case initially brought by qui tam relators
Soon after joining Zwanger in 2010,
Similarly, Zwanger executives ordered its schedulers to "split up" certain tests, i.e. schedule them on different days, no matter how inconvenient and contrary to patients' needs, because Zwanger was paid more when the tests were split.
Under
In 2014, as a result of the investigation prompted by
Zwanger has agreed to settle claims related to: (1) the automatic performance of unnecessary tests, specifically DXA and vertebral-fracture assessment tests and pelvic and transvaginal ultrasounds (performing both when only one was necessary) and (2) billing for services performed by uncredentialed physicians or at unenrolled locations by billing under
In total, the
"Unfortunately, because of what can only be deemed a technicality, and despite clear evidence of inappropriate 'splitting' behavior -- forcing patients to schedule appointments over the course of several days to increase reimbursement -- the government was unable to intervene in our clients' claims related to Zwanger's splitting," McCormack said. "Our clients' hope is that CMS sees the damage that this practice can do to patients and closes the door on this abusive behavior. Patients deserve better from their physicians."
"
Keywords for this news article include:
Our reports deliver fact-based news of research and discoveries from around the world. Copyright 2016, NewsRx LLC
Allstate Announces October Catastrophe Loss Estimate
Hartford Life Insurance Co Separate Account Three Files SEC Form 485BPOS, Post-effective Amendment [Rule 485(B)] (Nov. 15, 2016)
Advisor News
Annuity News
Health/Employee Benefits News
Life Insurance News