Norman Oklahoma Radiologists, Hospital Administrator and Norman Regional Hospital Pay $1.6M to Settle Federal Lawsuit over Medicare False Claims

Six radiologists, Norman Regional Hospital Authority and a former hospital administrator have agreed to pay the federal government more than $1.6 million to settle a federal lawsuit over Medicare false claims allegations.

The parties were accused of submitting false claims to obtain Medicare reimbursement for diagnostic services performed by radiological practitioner assistants (RPAs) without proper supervision by physicians.

According to the United States Attorney’s Office Western District of Oklahoma website, “There are certain radiological diagnostic services that require ‘personal’ supervision. This means that a physician must be in the room supervising the RPA when the RPA performs the service. If a physician is not in the room, the service cannot be billed to Medicare.”

The defendants cooperated with the government’s investigation and shortly after, agreed to pay $1.6 million to resolve the case.

Please click here to view the settlement on the United States Attorney’s Office Western District of Oklahoma website.

As always, ADVOCATE will keep you up to date on this and all issues impacting radiology as they become available.

Best regards,
Kirk Reinitz, CPA