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Pediatric practice settles government claim

May 01, 2010

Fairfield County Healthcare Associates P.C. doing business as Pediatric Healthcare Associates (PHA) has entered into a civil settlement with the government and will pay $76,444 to resolve fraudulent billing accusations. The allegation was that the practice improperly billed for after-hours services when the practice was open. The practice has locations in Bridgeport, Fairfield, Shelton, Southport, Stratford and Trumbull.

During part of the time period in question, PHA had hours posted on its Web site indicating that its offices were open in the evening until 9 p.m. on most weekdays and that the practice was open and had regular hours on Saturdays and Sundays. Although PHA was regularly open during these time periods, it routinely billed Medicaid for the add-on code and received additional payments for the services in question. Source: Stratford Star 4/8/2010

Submitted by YSM Web Group on July 19, 2012