Scripps settles physical therapy claims for $1.5 million

On January 19, the Department of Justice announced that San Diego-based Scripps Health had agreed to pay $1.5 million to settle a whistleblower’s allegations that the health care company submitted claims for physical therapy services that were false because the therapists providing the services lacked billing privileges. According to DOJ’s press release: Scripps Health (Scripps), a health care system based in San Diego, California, has agreed to pay $1.5 million to resolve allegations that it violated the False Claims Act by charging federal health care programs for physical therapy services that were rendered by therapists who did not have billing privileges for these programs and were not supervised by an authorized provider, the Justice Department announced today. *   *   * Medicare and TRICARE limit billing privileges to enrolled providers.  Services from unenrolled providers can be billed as “incident to” the services of an…

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