The owner of a North Mississippi orthopedic clinic and the facility agreed to pay more than $1.8 million. Federal prosecutors say the health care provider knowingly submitted false claims to Medicare and Medicaid. The claims were made for brand-name medication used for knee injections that were not administered. The U.S. Attorney’s Office for the Northern District of Mississippi announced the settlement on Wednesday.
Also, a health care worker has been charged with filing false claims for federal programs. The employee asserted benefits for a drug that was not given. It was claimed that a far less expensive compounded chemical was used instead. The defendants improperly sought compensation for the more expensive products.
The government will hold healthcare providers accountable if they knowingly overbill federal healthcare programs.
The settlement resolves allegations in a 2015 lawsuit filed under the False Claims Act. The act allows private individuals to sue on behalf of the government for false claims and share in any recovery (AP, 2023).