Vanessa Roberts Avery, United States Attorney for the District of Connecticut, Phillip Coyne, Special Agent in Charge for the U.S. Department of Health and Human Services, Office of the Inspector General, and William Tong, Connecticut Attorney General, today announced that COREBELLA HEALTH, LLC, and its owner, MARCOS DeESCOBAR, have entered into a civil settlement agreement with the federal and state governments and have paid a total of $399,440.55 to resolve allegations that they submitted false claims to, and received overpayments from, the Medicare and Medicaid programs.
Corebella Health (“Corebella”) is a practice that provides medical and wellness services to patients in Waterbury. DeEscobar is a naturopath and the owner of Corebella. The allegations against Corebella and DeEscobar arise out of improper billing for allergy immunotherapy preparation, and office visits, also known as evaluation and management (“E&M”) services.
Services performed by a nurse practitioner are typically reimbursed by Medicare and Medicaid at a lower rate than those performed by a physician. There are circumstances where nurse practitioner services are considered “incident-to” physician services, and may be properly billed and reimbursed at the higher physician rate. Among other requirements, incident-to services require a certain level of physician supervision. The government alleges that Corebella and DeEscobar submitted, or caused to be submitted, false claims to Medicare and Medicaid...
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