
07-06-2020, 01:44 PM
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Sage
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Join Date: Jan 2008
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Quote:
Originally Posted by Villageswimmer
Is there more than one Premier Medical Associates? The reason I ask is that I recalled having read something negative wrt an organization by this name. I googled “Premier Medical Associates Medicare fraud.” I was unable to post the link but it was a DOJ document ordering them to pay $750,000 for fraudulent claims.
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Here is the Link
and the key paragraphs
Quote:
FOR IMMEDIATE RELEASE
Wednesday, May 20, 2020
Premier Medical Associates Agree To Pay $750,000 To Resolve Claims Of False Billing
Tampa, FL – United States Attorney Maria Chapa Lopez announces today that Premier Medical Associates (PMA), a medical practice located in The Villages, Florida, has agreed to pay $750,000 to resolve allegations that it violated the False Claims Act. As part of the settlement, the United States contends that it has certain civil claims against PMA related to PMA’s billing of federal healthcare programs for services that were not medically necessary and reasonable.
Specifically, the government alleges that PMA knowingly billed for higher and more expensive levels of medical services than were actually performed and also billed for certain claims using “modifier 25,” indicating that a separate evaluation and management service was performed, even when there was no such separate service.
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Now having linked the settlement it is worth mentioning that this has absolutely no relationship to the concerns of the OP. The medical practice does not profit from the lab testing unless of course it was an in house lab which I don't believe that practice would have for HIV testing. Any profit realized would go to Quest or whatever facility did the testing.
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