A Chicago healthcare company and its owner will pay $1 million to the United States to resolve a civil lawsuit arising from the submission of false claims to Medicare. Brian J. Weinstein and Apollo Health Inc. violated the False Claims Act by submitting claims to Medicare for care plan oversight services that were not actually performed, according to a consent judgment and settlement agreement filed in US District Court in Chicago. Care plan oversight services (“CPO”) involve a physician’s supervision of a patient receiving complex or multidisciplinary medical care. At Weinstein’s direction, Apollo’s billers submitted 12,592 claims for CPO services on behalf of 25 providers purportedly employed by Apollo. Weinstein knew that the providers had not actually provided CPO services to Medicare patients and that CPO services had not been documented in the patients’ medical records. As part of the consent judgment and settlement agreement, Weinstein and Apollo agreed to pay $1 million to the United States.
