Connecticut physician ordered to pay $4.2M in claims fraud settlement

HARTFORD, Conn. — A Connecticut-based physician and a slew of his businesses have been ordered to pay $4.2 million in damages for false claims for payment to Medicare and state Medicaid program for improper billing and unnecessary services.

The state and federal settlement focuses on Jasdeep Sidana, a pulmonologist, and his businesses under the DOCS name – including DOCS Medical Group, Lung DOCS of CT – as well as Epic Family Physicians and Continuum Medical Group.

Sidana and DOCS have been ordered to pay $4,267,950.21, and Sidana will be required to enter an Integrity Agreement that contains compliance requirements and annual claim reviews.

There are over 20 facilities under Sidana’s ownership that offer primary care, urgent care, allergy testing and treatment, and COVID testing.

Between 2014 and 2019, submitted claims showed services provided by Sidana on days he was out of the country and were instead performed by lower-level providers, who usually get a lower reimbursement rate from Medicare and Medicaid for those services, according to officials.

Source: Connecticut physician ordered to pay $4.2M in claims fraud settlement / FOX 61

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