California medical group, physician pay $5M to settle whistleblower charges

Kelly Gooch - Print  | 

Redlands, Calif.-based Beaver Medical Group and an ophthalmologist at the practice, Sherif Khalil, MD, will pay $5 million to resolve false claims allegations, according to the U.S. Justice Department.

Healthcare providers, including Beaver, contract with Medicare Advantage organizations to provide care for Medicare Advantage beneficiaries and report diagnoses and other information to those organizations.

The U.S. alleged that Beaver and Dr. Khalil reported invalid diagnoses unsupported by beneficiaries' medical records, which resulted in inflated Medicare payments.

The allegations were originally brought in a whistleblower lawsuit filed by a former Beaver employee.

The former employee will receive about $850,000 of the $5 million settlement.

 

More articles on legal and regulatory issues:

12 latest healthcare industry lawsuits, settlements
Texas health system beats $61.8M billing fraud case
Oncology group sues AdventHealth for anticompetitive practices

© Copyright ASC COMMUNICATIONS 2019. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.

To receive the latest hospital and health system business and legal news and analysis from Becker's Hospital Review, sign-up for the free Becker's Hospital Review E-weekly by clicking here.