INDIVIDUAL PROVIDERS
DA TE
ENTITY
FCA ALLEGATIONS
AMOUNT
A physician agreed to pay $1 million to resolve allegations that he billed Medicare and TennCare for an electro-acupuncture stimulation device as if the device had to be implanted surgically when it did not. The physician entered into a three-year IA with HHS-OIG as part of the resolution. 117
Dr. James P. Anderson
1/4/2021
$1 million
Charles F. Spencer; Total Family Physicians Center PLLC d/b/a Total Family Health & Wellness
A chiropractor and his medical group agreed to pay $700,000 to resolve allegations that they billed Medicare and TennCare for an electro-acupuncture stimulation device as if the device had to be implanted surgically when it did not. 118
1/4/2021
$700,000
A chiropractor and his medical group agreed to pay $20,000 to resolve allegations that he billed Medicare and TennCare for an electro-acupuncture stimulation device as if the device had to be implanted surgically when it did not. 119 A urologist's estate agreed to pay $1.75 million to resolve allegations that he billed for kidney stone procedures that were not medically necessary because they were not medically indicated or because no kidney stones were in the patients. The settlement also resolved allegations that the urologist performed the procedures at a surgery center from which he allegedly received kickback payments. 120 A management services company, its owner and a medical practice agreed collectively to pay $150,000 to resolve allegations that they submitted claims to Medicare for the surgical implantation of neurostimulation devices when electro-acupuncture devices that were not surgically implanted were used. 121 A business owner and her company agreed to pay more than $20 million to resolve allegations that they fraudulently established DME companies by submitting falsified paperwork. The companies then allegedly billed Medicare for equipment that was not medically necessary and used marketing techniques that violated the AKS. In addition to the civil settlement, the owner pleaded guilty to related criminal charges. 122
Mitchell P. Shea; Chiro2Med of Tennessee P.C.
$20,000
1/4/2021
Estate of Dr. Patrick T. Hunter
$1.75 million
1/22/2021
Elevani Health Group, PLLC; Agilium, Inc.; Chad Glines
1/25/2021
$150,000
Kelly Wolfe; Regency Inc.
2/4/2021
$20.333 million
117 https://www.justice.gov/usao-mdtn/pr/united-states-and-tennessee-resolve-claims-three-providers-false-claims-act-liability. 118 https://www.justice.gov/usao-mdtn/pr/united-states-and-tennessee-resolve-claims-three-providers-false-claims-act-liability. 119 https://www.justice.gov/usao-mdtn/pr/united-states-and-tennessee-resolve-claims-three-providers-false-claims-act-liability. 120 https://www.justice.gov/usao-mdfl/pr/estate-deceased-urologist-agrees-pay-more-17-million-settle-false-claims-act-liability. 121 https://dockets.justia.com/docket/texas/txndce/3:2021cv00157/343353. 122 https://www.justice.gov/opa/pr/florida-businesswoman-pleads-guilty-criminal-health-care-and-tax-fraud-charges-and-agrees-203.
NOTABLE SETTLEMENTS BASS, BERRY & SIMS | 69
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