BOSTON — The Massachusetts Attorney General’s Office today announced in a release that it has reached a settlement agreement with a Fall River-based pediatric group to resolve allegations that Dr. Ali Tural and his company Tural Pediatrics, Inc. – submitted false claims for services he purportedly provided to MassHealth members, that were actually provided by midlevel practitioners such as physician assistants and certified nurse practitioners.
“Under the terms of the agreement, Dr. Tural and his company will pay $175,000 and agree to a three-year independent compliance monitoring program at his expense. The monitoring program will result in updated policies and procedures, annual training on federal and state laws, rules, and regulations governing physicians and group practice organizations, and annual audits, where the results will be reported to the AGO.
“MassHealth allows for services provided by midlevel practitioners such as physician assistants and certified nurse practitioners, as long as those services are provided under the supervision of a physician. However, when a physician assistant or nurse practitioner provides the service, MassHealth only pays at a rate of eighty-five (85%) percent of the fee paid for a physician’s services. According to the AGO, from January 1, 2019 through January 1, 2025, Dr. Tural submitted claims to MassHealth that indicated that he was the provider, even when he had not provided the service.
“The AGO’s investigation initiated with a...
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