Tennessee dermatologist pays $6.6M to settle Medicaid, Medicare fraud allegations

A Tennessee dermatologist and his practice will pay $6.6 million to settle allegations the practice improperly billed procedures to Medicare and Medicaid. 

According to a July 13 news release from the Justice Department, John Chung, MD, operates Skin Cancer & Cosmetic Dermatology Center, P.C., which has 13 clinics in Tennessee and Georgia. 

The Justice Department alleged Dr. Chung billed Medicare and Medicaid for the surgery and pathology portions of Mohs procedures to treat skin cancer as if they were performed by him, when portions of these procedures were performed by other individuals. 

Dr. Chung's practice also regularly billed Medicare in a particular way for procedures performed on the same patient on the same day in order to get around the program's multiple procedure reduction rule, the Justice Department alleged. 

The claims in the settlement are allegations only, and there was no determination of liability as a result of the settlement. 

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