Oncology Practice To Pay $4.1 Million To Settle FCA Investigation

The U.S. Attorney’s Office for the Northern District of Georgia announced that it has reached a settlement with Georgia Cancer Specialists I, PC, which agreed to pay $4.1 million to settle claims that it violated the False Claims Act by billing Medicare for evaluation and management services that were not permitted by Medicare rules.

Georgia Cancer Specialists is one of the largest private oncology practices in the  country with 27 offices located throughout the Atlanta metro area.  The claims relate to billing for evaluation and management (E&M) services on the same day as a related procedure.  Generally, providers are not permitted to bill both E&M services and a related procedure on the same day under the Medicare program’s regulations.

The False Claims Act has been used by the Justice Department to recover more than $9.2 billion since January 2009 in cases involving fraud against health care programs.

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