Prosecutors in settlement over medical billing in New York
Federal prosecutors have announced a settlement with a Massachusetts-based billing company for return of bonuses claimed for medical services in northern New York for military members and families.
According to authorities, Medical Reimbursement Systems Inc. will pay $500,000 to resolve allegations it submitted false claims to the TRICARE Program on behalf of a Watertown physicians’ practice. The company claimed that it was eligible for 10 percent Medicare bonuses for areas designated as having a shortage of health professionals.
Under the settlement, the company has agreed to hire an outside consultant to conduct TRICARE billing training for its staff and appoint a new compliance officer.
U.S. Attorney Richard Hartunian says it’s the 14th instance of improper TRICARE bonus claims his office has resolved since July, returning almost $3 million.