Home E-Weekly January 9, 2018

Anesthesiology Group Admits Submitting $3.4 Million in False Claims

Published: January 8, 2018

A group of anesthesiologists in Irving, Tex. took $3.4 million from insurance companies for treatment they never gave, court records show.

For years, the group, Limbic Partners, submitted false claims of anesthesia treatment that was either never given at all or administered by a non-credentialed provider. Limbic sometimes instructed its billing company "to substitute credentialed anesthesiologists to claims when the providing anesthesiologist was not credentialed with the patient's insurance company," court records show.

Many of the claims for reimbursement "were impossible to perform" since the anesthesia provider was "performing a procedure at another facility at the same time."

Though no providers were charged individually, Limbic was founded by anesthesiologists Herbert Cleighton Brown, MD, Brian David Rudman, MD, and Maulik Paresh Parikh, MD. Limbic Partners has agreed to pay back $933,251 of the falsely claimed reimbursements, having already repaid $133,000. Limbic's attorneys Daniel K. Hagood, Brian D. Poe and Robert L. Webster declined to comment.

Joe Madsen

New to Outpatient Surgery Magazine?
Sign-up to continue reading this article.
Register Now
Have an account? Please log in:
Email Address:
  Remember my login on this computer

Other Articles That May Interest You

Coding & Billing: How Much Are You Leaving on the Table?

A busy surgical center shares 4 tips to collect all that's rightfully yours.

Coding & Billing: 10 Revenue-Cycle Mistakes to Avoid

These blunders could endanger more than just your reimbursements.

Coding & Billing: Avoid Common Colonoscopy Billing Blunders

Simple steps to head off confusion about patients' insurance coverage.