tci Medicare Compliance & Reimbursement - 2021 Issue Q1

Fraud and Abuse: Recent Enforcement Actions Target Physicians

See what’s on the DOJ’s hitlist. Authorities pushed full-steam ahead in January despite a raging pandemic. In fact, the month’s enforcement shows that the feds intend to hold physicians accountable for Medicare fraud schemes in 2021. In Tennessee: Three Nashville-based providers settled False Claims Act (FCA) violations for fraudulent acupuncture claims. James P. Anderson, MD, owner of Affiliated Neurologists, PLC, Charles F. Spencer, DC, owner of Total Family Physicians Center PLLC d/b/a Total Family Health & Wellness and Mitchell P. Shea, DC, owner of Chiro2Med of Tennessee P.C. agreed to pay $1.72 million to...

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