Rhode Island Dermatology Center pays $152000 due to illegal billing
Rhode Island Dermatology and Cosmetic Center of Lincoln, a clinic based on Rhode Island was forced to pay $152000 so as to settle civil claims regarding a violation of Federal Claims Act while billing Medicare (a national social insurance program, administered by the U.S. federal government since 1966) for cosmetic procedures in rates higher than necessary.
The Federal inspectors claimed that the condition or the circumstances of the closure of patients wasn’t justifying the rates that the Rhode Island Dermatology Center was asking. Actually the processes should be categorized at a lower rate for less complex procedures. The complexity of a procedure is what settles the amount that Medicare is paying, so putting a procedure in a higher complexity class increases the amount the governmental insurance program pays. The USA attorney Peter Neronha stated that the issue was resolved before legal dispute with no recognition of wrongdoing or liability.