Acting US Attorney Joel L. Violanti announced that Western New York Medical PC has agreed to pay $251,477 to resolve False Claims Act allegations that it submitted false claims to federal healthcare programs related to billing for chronic care management services. Assistant US Attorney David M. Coriell, who handled the case, stated that WNY Medical is a healthcare provider with locations in Erie and Niagara Counties. The Government alleges that between January 1, 2020, and March 31, 2023, WNY Medical submitted claims to Medicare for Chronic Care Management encounters using current procedural terminology, which requires that clinical staff provide at least 20 minutes of services per month. However, for a portion of these encounters, WNY Medical failed to provide at least 20 minutes of clinical staff time during the month in which WNY Medical billed Medicare for the services.
