Sleep Solutions, Inc. (“Sleep Solutions”)–a Maryland diagnostic service provider of in-home sleep tests–settled with the United States for $500,000 to settle claims that it violated the False Claims Act by submitting false claims to TRICARE and the Federal Employees Health Benefit Program. The United States contends that from February 2003 through December 2009, Sleep Solutions submitted claims for unattended home sleep studies as if they were attended by a sleep technologist. Attended sleep tests command higher reimbursement than unattended sleep tests.
The United States also alleged that Sleep Solutions billed TRICARE and the Federal Health Employees Benefit Program, even though these federal programs did not reimburse unattended sleep tests during most the of period in question. TRICARE began covering certain unattended home sleep tests on May 29, 2008. Sleep Solutions denies these allegations.
For more information, please contact Adrienne Dresevic, Esq., Carey F. Kalmowitz, Esq. at (248) 996-8510 or (212) 734-0128 or Daniel B. Brown, Esq. at (770) 804-6475, or visit HLP’s Stark and Anti-Kickback specialty page on the HLP website.