Michigan Physical Rehabilitation and Pain Clinic Agreed to Be Excluded for 20 Years for Allegedly Paying Remuneration to Physicians for Referrals and Submitting Claims for Upcoded Services

In connection with the resolution of False Claims Act liability, a physical rehabilitation and pain management clinic (clinic) agreed to be excluded from participating in Federal health care programs for twenty years under 42 U.S.C. § 1320a-7(b)(7). OIG alleged that the clinic: (1) submitted claims to Medicare and Medicaid for physical therapy, electrodiagnostic testing, and/or home health care services that were referred to companies that were owned or operated by the clinic's owner in exchange for illegal remuneration and/or kickbacks and (2) submitted claims to Medicare and Medicaid using medical billing codes that reflected more complex and expensive services than the services that were actually rendered to patients.

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