The claims alleged by the United States are allegations only. There has been no determination of liability.
Heuser Health, a Louisville-based provider of at-home wound care services, has agreed to pay $2,646,186.72 to resolve allegations that it violated the False Claims Act by overbilling Medicare and TRICARE for skin substitute products. This settlement is part of a broader investigative initiative known as “Operation Skin Scam.”
“The United States alleges that Heuser Health submitted, or caused to be submitted, claims using invoice amounts higher than the company’s true purchase prices, leading to inflated reimbursements paid by Medicare and TRICARE.”
Two years ago I asked a question about accepting discounts for skin subs- but I asked it from the wrong angle. I asked if the discounts were legal and the real question was whether it was legal to bill for an amount other than the true purchase price. The DOJ says that doing so is violation under the False Claim Act.
- Help! Can Someone Explain if Accepting Discounts Below the Cellular Tissue Product / Skin Substitute Average Sales Price (ASP) is Legal?
- United States Obtains $2.6M Settlement with Heuser Health as Part of Broader “Skin Scam” Fraud-Fighting Initiative
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