WATERBURY— A Naturopath and his medical practice have paid $400,000 to resolve allegations that they submitted false claims to, and received overpayments from, the Medicare and Medicaid programs.
In a release, the U.S. Attorney for the District of Connecticut said Corebella Health and its owner, Marcos DeEscobar, have entered into a civil settlement agreement with the federal and state governments. It said Corebella Health is a practice that provides medical and wellness services to patients in Waterbury, while DeEscobar is a naturopath and its owner.
"The allegations against Corebella and DeEscobar arise out of improper billing for allergy immunotherapy preparation, and office visits, also known as evaluation and management services," it said.
The U.S. attorney's office said services performed by a nurse practitioner are typically reimbursed by Medicare and Medicaid at a lower rate than those performed by a physician. It noted 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," it said. "The government alleges that Corebella and DeEscobar submitted, or caused to be submitted, false claims to Medicare and Medicaid for services that were supposedly rendered by physicians. In reality, the services were rendered by nurse practitioners, did not meet...
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