A federal investigation sparked by whistle-blowers who used to work for a radiation oncology practice has resulted in a civil settlement in which the practice and its affiliates agreed to pay $3.8 million to settle fraud allegations.
Radiotherapy Clinics of Georgia (Decatur), along with affiliates RCOG Cancer Centers, Physician Oncology Services Management Co., Dr. Frank Critz and Physician Oncology Services, were accused of overbilling Medicare for X-rays and simulations in preparation for radiation therapy and for consults and consult reports, according to a U.S. Justice Department news release. Critz also was accused of ordering "pre-plans" that were not medically necessary or reviewed.
There has been no determination of liability, and the claims in the settlement agreement are only allegations, the release noted.
The whistleblowers, identified as former employee R. Jeffrey Wertz and Dr. Rebecca Tarlton, will share $646,000.