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Texas Lymphedema Wound Center Owner Agreed to Be Excluded for 10 Years for Allegedly Submitting Claims for Services Provided by Unqualified Therapists, in Excess of Medicare Caps, Unbundled Therapy, and Medically Unnecessary Compression Pumps

In connection with the resolution of False Claims Act liability, the owner of a lymphedema wound center agreed to be excluded from participating in Federal health care programs for ten years under 42 U.S.C. § 1320a-7(b)(7). OIG alleged that the owner of the lymphedema wound center submitted claims to Medicare: (1) for physical therapy treatments that were performed by therapists who were not qualified to perform those treatments; (2) for physical therapy treatments in excess of the Medicare caps and limitations on the number of physical therapy treatments; (3) that violated the rules for "bundling" strapping/bandaging services with physical therapy treatments; and (4) for prescribing pneumatic compression pumps for Medicare beneficiaries when those pumps were not medically necessary.

Action Details

  • Date:July 19, 2013
  • Enforcement Types:
    • CMP and Affirmative Exclusions