New Jersey Doctor Settles Allegations of False Claims Act Violations for Nearly $700k

BACK TO INSIGHTS     Articles

Click below to Listen and Subscribe with your favorite podcast app!

Apple Podcasts
Google Podcasts
Podbean App
Amazon Music
iHeartRadio
Spotify
YouTube

April 30, 2024

Legal Update: False Claims Act Allegations Settlement

On February 22, 2024, the United States Attorney’s Office for the District of New Jersey announced that a New Jersey physician and his practice have settled allegations that they upcoded services, billed for services beyond what is feasible in a single day, and billed for services that were never rendered, all violations of the False Claims Act.

Follow Us on LinkedIn

Stay updated with our latest news and insights.


The settlement addresses three sets of allegations spanning from January 1, 2017 to June 1, 2022:

  • The defendants purportedly upcoded certain Current Procedural Terminology (CPT) codes to bill for more complex and lengthier evaluation and management services than actually rendered.
  • The defendants submitted Medicare claims for services or procedures purportedly performed by the physician in a single day that exceeded the number of hours in a day.
  • The physician purportedly furnished services to Medicaid beneficiaries in New Jersey on days when he was not physically present in the United States.

The defendants have agreed to pay nearly $700,000 to settle these claims without any determination of liability.

Click Here to read the entire April 2024 Healthcare Law Update now!

For more information, contact:

Carol Grelecki | 973.403.3140 | cgrelecki@bracheichler.com

Vanessa Coleman | 973.364.5208 | vcoleman@bracheichler.com


About Brach Eichler LLC

Brach Eichler LLC is a full-service law firm based in Roseland, NJ. With over 80 attorneys, the firm is focused in the following practice areas: Healthcare Law; Real Estate; Litigation; Trusts and Estates; Corporate Transactions & Financial Services; Personal Injury; Criminal Defense and Government Investigations; Labor and Employment; Environmental and Land Use; Family Law Services; Patent, Intellectual Property & Information Technology; Real Estate Tax Appeals; Tax; and Cannabis Law. Brach Eichler attorneys have been recognized by clients and peers alike in The Best Lawyers in America©, Chambers USA, and New Jersey Super Lawyers. For more information, visit www.bracheichler.com.

This alert is intended for informational and discussion purposes only. The information contained in this alert is not intended to provide, and does not constitute legal advice or establish the attorney/client relationship by way of any information contained herein. Brach Eichler LLC does not guarantee the accuracy, completeness, usefulness or adequacy of any information contained herein. Readers are advised to consult with a qualified attorney concerning the specifics of a particular situation.

*This is intended to provide general information, not legal advice. Please contact the authors if you need specific advice.

Carol Grelecki

Member
Healthcare Law, Cannabis Industry

973.403.3140 · 973.618.5540 Fax

Related Practices:   Healthcare Law

Related Attorney:   Carol Grelecki, Vanessa Coleman

Related Industry:   Healthcare