A.G. Underwood Announces $883,000 Settlement With CityMD for Submitting False Claims to a Government Health Plan
Attorney General
"My office will not tolerate healthcare providers who overbill government healthcare plans," said Attorney General Underwood. "Today's settlement makes clear that we will hold accountable any entity responsible for false payment claims to the Empire Plan or other government health plans."
The Attorney General's investigation revealed that from
As part of the settlement, CityMD admitted that despite the prohibition in the manual and UnitedHealthCare's instructions to refrain from submitting facility fee bills, CityMD continued to cause its practice affiliates to bill for facility fees. CityMD also admitted that it violated the New York False Claims Act and paid
The CityMD investigation arose from a whistleblower's allegations under the qui tam provisions of the New York False Claims Act. The Act allows private persons (known as "relators") to file civil actions on behalf of the government and to share in any recovery. The relator here will receive over
The Attorney General's investigation of CityMD was led by Assistant Attorney General
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