Tennessee Pediatrician Agreed to Be Excluded for 20 Years for Submitting Claims for Pediatric Services Allegedly Not Provided as Claimed

In connection with the resolution of False Claims Act liability, a pediatrician agreed to be excluded from participating in Federal health care programs for a period of twenty years under 42 U.S.C. § 1320a-7(b)(7). The OIG alleged that the pediatrician: (1) billed for urinalysis testing employing the CPT code 81001 for automated urinalysis with microscopy when no microscopy was performed and (2) billed CPT code 92585 for comprehensive auditory evoked response testing when the comprehensive test was not actually being performed.

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