JACKSONVILLE, Fla. – A former chief financial officer and chief operating officer for a Jacksonville-based orthopedic medical group has agreed to pay the government $100,000 to resolve allegations that he violated the False Claims Act, the U.S. Attorney's Office for the Middle District of Florida said.
While Scott Quinn was employed at Southeast Orthopedic Specialists, he was responsible for overseeing operations and the financial performance of the practice, according to the settlement agreement.
Officials with the U.S. Attorney's Office said the United States contends that it has certain civil claims against Quinn arising from his role in billing, or causing to be billed to federal healthcare programs, certain services that Quinn knew or should have known were not medically necessary and reasonable.
Specifically, between May 2013 and Sept. 29, 2016, Quinn routinely sought or caused to be submitted for reimbursement certain claims for ultrasound-guided injections even in the absence of medical necessity, officials with the U.S. Attorney's Office said. The claims were not appropriately billable to the Medicare program.
The U.S. Attorney's Office officials said Quinn is agreeing to pay the United States $100,000 for his conduct as part of Thursday's settlement.
The United States announced last year a False Claims Act settlement against Southeast Orthopedic Specialists. Officials with the U.S. Attorney's Office said that at that time, the company agreed to repay the United States $4.48 million to resolve allegations that it had violated the False Claims Act.
"The Department of Health and Human Services, Office of Inspector General will relentlessly seek to hold corporate officers who defraud the Medicare program personally accountable," Special Agent In Charge Shimon Richmond said. "Obtaining tax dollars, which Medicare providers are not entitled to, impacts our entire healthcare system, and the OIG will pursue company executives who misrepresent services to boost profits."
The settlement is part of the Department of Justice's focus on identifying specific people who participate or further financial fraud. Officials with the United States Attorney's Office for the Middle District of Florida said they have prioritized holding people accountable for corporate malfeasance.