TULSA, Okla. — Cardiovascular Specialists Inc. and Stewart Katz MD paid $270,000 to settle civil claims stemming from allegations of submitting false claims to Medicare and TRICARE.
U.S. Attorney Robert J. Troester said Cardiovascular Specialists is an Oklahoma corporation that operated a cardiology clinic in Tulsa.
Dr. Katz is a cardiologist who owned and practiced at the clinic. The United States alleges from Jan. 1 2016 through Feb. 28 2020, the clinic and physician engaged in improper "incident-to" billing.
Cardiovascular Specialists and Dr. Katz allegedly submitted or caused the submission of claims to Medicare for the payment of evaluation and management (E&M) services under Dr. Katz' National Provider Identification number that were preformed by nurse practitioners when Dr. Katz was not in the clinic supervising them.
The United States also alleges from Jan. 1 2015, through June 16 2022, the clinic and physician submitted or caused the submission of claims to Medicare and TRICARE for (E&M) services that should have been billed at a lower reimbursement level.
To resolve the claims, Cardiovascular Specialists and Dr. Katz agreed to pay $270,000 to the United States.
The settlement resolves allegations filed in a lawsuit by a whistleblower who formerly worked for the clinic. The lawsuit was filed in federal district court under the qui tam, or whistleblower, provisions of the False Claims Act, which permits private individuals to sue on behalf of the United...
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