According to a consent judgment and settlement agreement filed in the U.S. District Court in Chicago, Brian J. Weinstein and Apollo Health Inc. were found to have violated the False Claims Act by submitting claims to Medicare for care plan oversight services that were not performed.Care plan oversight services entail a physician supervising a patient receiving complex or multidisciplinary medical care.
Weinstein directed Apollo’s billers to submit 12,592 claims for CPO services on behalf of 25 providers purportedly employed by Apollo, despite knowing that these providers had not rendered CPO services to Medicare patients, and such services were not documented in patients’ medical records.As part of the settlement agreement, Weinstein and Apollo agreed to pay $1 million to the United States.