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Texas Independent Diagnostic Testing Facility Settles False and Fraudulent Medicare Claims Case

On April 18, 2017, Frontera Strategies, LP (Frontera), Texas, entered into a $510,938.74 settlement agreement with OIG. The settlement agreement resolves allegations that Frontera submitted claims to Medicare for nerve conduction studies (NCS) that are considered screening exams and not covered by Medicare. Medicare Administrative Contractor Local Coverage Determinations specified that an electromyography must be performed as well as NCS for diagnostic purposes. OIG's Office of Audit Services and Office of Counsel to the Inspector General, represented by Senior Counsels Geoffrey Hymans and Kenneth Kraft, collaborated to achieve this settlement.

Action Details

  • Date:April 18, 2017
  • Enforcement Types:
    • CMP and Affirmative Exclusions