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Virginia Physician and Practice Settle False and Fraudulent Claims Case

On September 28, 2018, Atlantic Obstetrics & Gynecology, P.C. d/b/a Atlantic OB-GYN and Timothy J. Hardy, M.D. (collectively, "Atlantic OB-GYN"), with locations in Chesapeake and Virginia Beach, Virginia, entered into an $81,959.60 settlement agreement with OIG. The settlement agreement resolves allegations that Atlantic OB-GYN submitted claims to Medicare for items or services that it knew or should have known were not provided as claimed or were false or fraudulent. Specifically, OIG contended that Atlantic OB-GYN submitted claims for: (1) diagnostic electromyography services using CPT Code 51784 and diagnostic anorectal manometry services using CPT Code 91122 when therapeutic services, not diagnostic services, had been provided, and (2) pelvic floor electrical stimulation that was not preceded by a four-week course of failed pelvic muscle exercise training. OIG's Consolidated Data Analysis Center and Office of Counsel to the Inspector General, represented by Senior Counsels David Traskey and Michael Torrisi, with the assistance of Program Analyst Mariel Filtz, collaborated to achieve this settlement.

Action Details

  • Date:September 28, 2018
  • Enforcement Types:
    • CMP and Affirmative Exclusions