A pediatric group based in Memphis, Tenn., has agreed to pay $543,377 over five years to settle allegations that it overcharged in claims submitted to the TennCare program, the state attorney general said.
According to a Dec. 16 announcement by Tennessee Attorney General Robert E. Cooper Jr. (D), state prosecutors had claimed that Segal, Parker, Kronenberg, Tsiu & Eiseman LLC (SPKTE) and three of its affiliated pediatricians had engaged in “upcoding,” or billing for a higher level of service than was rendered. The pediatric group didn’t admit to any wrongdoing as part of the settlement, and the state didn’t allege ...
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