A whistleblower’s False Claims Act lawsuit has led to a $1.85 million settlement between Skyline Urology and the U.S. government, resolving allegations that the Torrance, California-based health care company deliberately overbilled Medicare. Federal prosecutors investigated the whistleblower’s claims and alleged that from January 1, 2013, through 2016, Skyline Urology systematically billed Medicare for evaluation and management services in violation of federal rules. Although some exceptions exist, health care providers are not permitted to bill Medicare for evaluation and management services on the same day a related procedure is performed. This is because the cost of evaluating a patient is included ... Read More
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