Damian Williams, the United States Attorney for the Southern District of New York, and Naomi Gruchacz, the Special Agent in Charge of the New York Regional Office of the U.S. Department of Health and Human Services, Office of Inspector General (“HHS-OIG”), announced today that the United States has filed and settled a civil fraud lawsuit against ADVANCED HEALTH PARTNERS, INC., f/k/a “Medicom Management Services, Inc.”; MEDEXCEL USA, INC.; MEDEXCEL EMERGENCY PHYSICIAN SERVICES OF YONKERS, PLLC (“MEPSY”); and TRI-STATE EMERGENCY PHYSICIANS, PLLC (collectively the “Defendants”). This settlement resolves a lawsuit under the False Claims Act alleging that the Defendants submitted or caused the submission of false claims to Medicare using the names and identifying information of physicians who did not perform or supervise the medical services claimed and, in many cases, were no longer employed by the Defendants.
Under the terms of the settlement approved today by U.S. District Judge Nelson S. Román, the Defendants admitted and accepted responsibility for their conduct and agreed to pay $475,000 in damages to the United States.
U.S. Attorney Damian Williams said: “Advanced Health Partners, working with Medexcel, fraudulently billed Medicare on behalf of MEPSY and Tri-State at significant cost to taxpayers. This settlement holds these entities accountable both through the monetary payment and the detailed admissions they have made.”
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