Corporate Compliance

CA Health Clinic will pay $4.96 million in false Medicaid claims settlement

Compliance Monitor, June 25, 2008

Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!

North East Medical Services agreed to pay $4,964,646 to settle allegations the clinic submitted false claims to the California Medicaid program (Medi-Cal).
 
The Department of Justice alleged NEMS inaccurately reported select revenues received for vision care, pharmacy, laboratory, and radiology services provided to Medi-Cal beneficiaries from 2001 through 2005.
 
A former employee of NEMS blew the whistle on the clinic and filed charges under the qui tam provisions of the federal False Claims Act. She will receive $562,600 for her participation in the investigation.
 
To read the full DOJ press release click here



Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!

Comments

0 comments on “CA Health Clinic will pay $4.96 million in false Medicaid claims settlement

 

    Strategies for Health Care Compliance
  • Strategies for Health Care Compliance

    News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...

  • Compliance Monitor

    This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...

  • Medicare Weekly Update

    Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...

  • Medicare Update for Physician Services

    Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...

Most Popular

Related Articles