tci Medicare Compliance & Reimbursement - 2005 Issue 4

Enforcement Watch: Feds Crack Down On Vaccine Billing Errors

Investigation turns costly for two CT pediatric practices.Practices that regularly submit claims to Medicaid under the Vaccines For Children (VFC) program need to make sure that they are billing only the related administrative costs - and not the vaccines.Two pediatric practices agreed to separate civil settlements Jan. 3, U.S. Attorney Kevin O'Connor said. Torrington-Winsted Pediatric Associates and Pediatric & Adolescent Healthcare (PAH), and its former owner Dr. William Silberberg, agreed to pay a total of $850,000 to resolve allegations that they were overpaid for inoculations.Between January 1997 and May 2004, prosecutors say that both...

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