Healthcare Fraud & Abuse Review 2021

INDIVIDUAL PROVIDERS

DA TE

ENTITY

FCA ALLEGATIONS

AMOUNT

A physician and his practice agreed to pay $375,000 to settle allegations that he billed Medicare for the surgical implantation of neurostimulator devices when the devices actually used were acupuncture devices that do not require surgery. 157 A vascular surgeon and his practice agreed to pay more than $3.7 million to resolve allegations that he and his staff utilized improper techniques in performing and analyzing ultrasounds and used false ultrasound findings to conduct and bill for medically unnecessary and unreasonable services. The surgeon and the practice entered into a three-year IA with HHS- OIG as part of the resolution. 158

Dr. Kevin Cooper; Cooper Family Medical Center

12/13/2021

$375,000

Dr. David Bellamah; Bellamah Vein & Surgery, PLLC d/b/a Bellamah Vein Center

$3.746 million

12/15/2021

157 https://www.justice.gov/usao-sdms/pr/physician-agrees-pay-375000-resolve-false-claims-act-allegations-p-stim-device-fraud. 158 https://www.justice.gov/usao-mt/pr/missoula-vascular-surgeon-settles-alleged-health-care-fraud-claims-37-million.

NOTABLE SETTLEMENTS BASS, BERRY & SIMS | 76

Powered by