albert einstein healthcare and fornance physician services agree to settlement of voluntary disclosure
The United States announces that it has settled claims under the False Claims Act with Albert Einstein Healthcare Network and Fornance Physician Services for improperly billing federal health care programs for services submitted on behalf of Dr. Roman. Einstein and Fornance voluntarily disclosed the allegations and have agreed to pay $ 348,854.00 to resolve the matter.
According to the self-disclosure and the investigation that followed, between November 10, 2010 and January 25, 2012 bills were submitted to federal health care programs for services that were allegedly performed by Dr. Roman and were actually performed by resident physicians where Dr. Roman was not appropriately performing teaching physician services; bills were submitted for services performed by Dr. Roman where there was not sufficient documentation to support the billable service; and some bills were submitted that were upcoded. The United States alleges that false claims were submitted to the government. After it discovered the problem, Einstein and Fornance took corrective action to resolve the improper payments, and disclosed the matter to the United States Attorney’s Office.
This matter was handled by Department Health and Human Services Office of the Inspector General, including Attorney Katherine Matos and AATS Audit Manager Bernard Siegel with the Office of Audit Services, and Assistant United States Attorney Susan Dein Bricklin.
UNITED STATES ATTORNEY'S OFFICE, EASTERN DISTRICTof PENNSYLVANIA
Suite 1250, 615 Chestnut Street, Philadelphia, PA 19106
PATTY HARTMAN, Media Contact, 215-861-8525