Mississippi provider pays $1.8M to settle overbilling allegations

A Mississippi orthopedic clinic and its owner have agreed to pay $1.8 million to settle allegations he overbilled Medicare and Medicaid for viscosupplementation agents, according to the Justice Department. 

Advertisement

Hanna “Johnny” Mitias, MD, owns Mitias Orthopaedics and subsidiary Champion Orthopedics in New Albany, Miss. According to a Jan. 12 news release from the Justice Department, Dr. Mitias allegedly submitted false claims to Medicare and Medicaid between 2008 and 2015. 

The Justice Department alleges Dr. Mitias billed Medicare and Medicaid for brand-name viscosupplementation knee injections. These brand name injections were much higher in price than the cheaper, compounded agents the Justice Department alleges Dr. Mitias used, allowing him to claim higher reimbursements. 

The settlement resolves a suit filed in 2015 by a medical devices sales representative under the whistleblower provision of the False Claims Act. According to the Justice Department, the claims resolved by the settlement are allegations only and there has been no determination of liability. 

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

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.