DOCUMENTS
AGREEMENT PRESS RELEASE
Chronic Disease Management Provider To Pay $14.9M To Resolve Alleged False Claims
Published by the United States Department of Justice | View article on www.justice.gov
Bluestone Physician Services of Florida LLC, Bluestone Physician Services, P.A. and Bluestone National LLC, operating in Florida, Minnesota and Wisconsin, respectively, have agreed to pay $14,902,000 to resolve allegations that they knowingly submitted claims for certain Evaluation and Management (E&M) codes for services related to the management of chronic care patients in assisted living and other care facilities that were not provided in conformity with applicable Medicare, Medicaid and TRICARE requirements.
ENFORCEMENT ACTIONS
Chronic Disease Health Care Provider To Pay Florida Medicaid Nearly $600,000 For False Claims Act Violations
Penalty Amount: $0
Filed under: State Enforcement Agencies
TALLAHASSEE, Fla.—Attorney General Ashley Moody’s Medicaid Fraud Control Unit secured nearly $600,000 for Florida Medicaid from a chronic disease management health care provider. In a multistate action with Florida, Minnesota and the federal government, Bluestone Physician Services of Florida, LLC, Bluestone Physician Services, P.A. and Bluestone National, LLC agreed to pay millions of dollars for False Claims Act violations. Bluestone allegedly violated the federal False Claims Act, and the False Claims Acts of Florida and Minnesota, by submitting false or fraudulent claims for certain evaluation and management codes for services provided to chronic care patients in assisted living and other care facilities that did not conform to Medicare, Medicaid and TRICARE requirements. Florida Medicaid will receive $593,038 as a result.