Medicare regulations require a qualified practitioner to be immediately available to provide assistance and direction when patients receive radiation services. The government alleged AnMed billed Medicare for radiation oncology services provided to beneficiaries when a qualified practitioner was not available.
The government further alleged AnMed submitted improper claims to Medicare for emergency department services and care provided at one of its clinics.
A former AnMed employee originally brought the allegations against the system under the qui tam, or whistle-blower, provisions of the False Claims Act.
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