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Litigation Developments
Urgent Care Provider and Management Company to pay $22.5 Million to End FCA Claims
South Carolina urgent care providers agreed to pay $22.5 million to resolve False Claims Act claims filed by two former employees. The whistleblowers claimed that Doctors Care P.A. (Doctors Care), its management company, UCI Medical Affiliates of South Carolina, Inc. (UCI), and a related holding company, UCI Medical Affiliates, Inc., falsely certified that certain providers were approved to bill to Medicaid, Medicare, and TRICARE for medical services when the services were actually performed by non-credentialed physicians and other providers. The claims were only related to billing credentials, which are not related to the providers’ licenses to practice medicine.
Doctors Care, management company agree to $22.5M settlement over False Claims Act allegations
VIDEO: Doctors Care, management company agree to $22.5M settlement over False Claims Act allegations By Patrick Phillips | April 8, 2021 at 10:09 AM EDT - Updated April 8 at 1:41 PM
COLUMBIA, S.C. (WCSC) - The stateâs largest urgent care provider and its management company have agreed to settle allegations of healthcare fraud, according to the U.S. Attorney for South Carolina.
Doctors Care, UCI and UCI Medical Affiliates, Inc. will pay $22.5 million to resolve the civil allegations made by a whistleblower complaint, according for Acting U.S. Attorney for South Carolina Rhett DeHart.
Updated: 12:56 PM EDT April 8, 2021
COLUMBIA, S.C. South Carolina s largest urgent care provider, Doctors Care, and its management company UCI Medical Affiliates of South Carolina have been found in violation of the federal False Claims Act and have been fined $22.5 million in restitution.
The charges stem from an investigation that began as a whistleblower complaint alleging Doctors Care, UCI, and UCI Medical Affiliates, Inc. (a related holding company), falsely certified that certain urgent care visits were performed by providers who were credentialed (authorized) to bill Medicaid, Medicare, and TRICARE for medical services when, in fact, the providers were not credentialed.