Physician-owned medical management company admits to $3.4M false claims scheme

Irving, Texas-based medical management company Limbic Partners agreed to plead guilty to mail fraud for submitting false claims for anesthesia services, according to a Dallas News report.

Limbic Partners admitted to cheating Blue Cross Blue Shield of Texas and United Health Group out of approximately $1 million through claims for anesthesia services that Limbic's physicians never performed, according to plea documents.

The physician-owned company, which offers medical services at hospitals and surgery centers in the Dallas area, was charged on Dec. 5 in connection with the scheme.

Limbic Partners submitted false claims worth roughly $3.4 million, securing $1 million in payment for out-of-network procedures that other physicians performed, according to the charging document. Limbic Partners instructed its billing company to add anesthesiologists and anesthesia nurses to claims for services they did not provide. No physicians were charged in connection with the scheme, which took place from April 2011 to April 2013.

Limbic Partners filed plea documents in the case on Dec. 12, which a federal judge still has to accept before a sentencing date is issued.

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