Washington urgent care clinic settles overbilling allegations

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A Washington urgent care clinic has agreed to pay $2.8 million to resolve allegations it fraudulently overbilled Medicare and Medicaid for diagnostic tests. 

What happened?

  • Health First Urgent Care, which has locations in Richland and Pasco, Wash., fraudulently billed for polymerase chain reaction respiratory and urinary tract infection panel testing, according to a Sept. 24 Justice Department news release. 
  • The panel tests were a predetermined group of medical tests used to test for multiple pathogens from a single sample obtained from a patient.
  • Health First Urgent Care allegedly improperly unbundled the panel test and billed for each individual test comprising the panel. 
  • The clinic also allegedly billed for panel tests that were more expensive and not medically necessary for certain patients, such as those presenting with symptoms of COVID-19.

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