A settlement has been reached to resolve False Claims Act allegations against Fredericksburg Hospitalist Group, P.C.
The allegations arose from a lawsuit that claimed Fredericksburg Hospitalist Group P.C. knowingly and intentionally upcoded evaluation and management (E&M) codes to the highest code levels in billing Medicare and other federal healthcare payors in connection with their providing hospitalist services to patients at Mary Washington Hospital and Stafford Hospital.
According to the government, allegedly from January 2010 through April 2015, Fredericksburg Hospitalist Group P.C. knowingly and intentionally increased the level of E&M codes to the highest code levels, resulting in increased reimbursement amounts paid by the federal healthcare payors to the billing defendants.
“Rooting out fraudulent billing by healthcare providers is a priority,” said Dana J. Boente, U.S. Attorney for the Eastern District of Virginia. “This office will continue to pursue such matters vigorously.”
The whistleblower could be awarded approximately 25 percent, or more, of amounts collected.
Fredericksburg Hospitalist Group, P.C. is a Medical Group that has only one practice medical office located in Fredericksburg VA. There are 31 health care providers, specializing in Internal Medicine, Family Practice, Hospitalist, Osteopathic Manipulative Medicine, Nurse Practitioner, Physician Assistant, being reported as members of the medical group.
