Feds Use Data Analytics to Detect Fraud

A person holding a test tube with yellow liquid.

A Jacksonville-based healthcare provider accused of making false or fraudulent claims with the Florida Medicaid program agreed to pay $700,000 to resolve allegations it violated the False Claims Act. The case against Physicians Group Services resolves allegations that PGS submitted claims to Florida’s Medicaid program for quantitative urine drug testing that were medically unnecessary because…

Read More

Sober Home Initiative Results in Second Conviction

A person holding a cup of liquid in their hands.

A U.S. Justice Department investigation of kickback schemes targeted at substance abuse treatment facilities dubbed the “Sober Homes initiative†recently ended in the conviction of a Florida doctor. According to evidence presented at trial, Mark Agresti, M.D., 59, of Palm Beach, unlawfully billed approximately $110 million of urinalysis (UA) drug testing services that were medically…

Read More