The government alleged FWC used billing codes with modifier 25, which can allow for additional payments from Medicare, for services that were not billable or that it did not provide. For example, FWC physicians performed and billed Medicare for lavage treatments and pelvic-floor therapies, then allegedly billed modifier 25 as if they provided another service, even though no additional medical care was provided.
A former FWC employee originally brought the allegations against FWC under the qui tam, or whistle-blower, provisions of the False Claims Act.
More articles on legal and regulatory issues:
Memorial Hermann hit with $1M retaliation suit by former employee
15 latest healthcare industry lawsuits, settlements
Police officer admits assaulting patient at New Jersey hospital
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
