8/27/2023 0 Comments Docs medical group waterburyInstead, the services were actually performed by lower-level providers, who typically receive a lower reimbursement rate from Medicare and Medicaid for such services.įinally, the government contends that when administering tests for COVID, DOCS and Sidana improperly billed Medicare and Connecticut Medicaid for certain evaluation and management (“E&M”) services, commonly referred to as office visits. The government also alleges that between January 1, 2014, and January 1, 2019, DOCS and Sidana submitted claims for medical services performed by Sidana on dates of service when he was traveling internationally and did not perform or supervise the services. The allegations also involve claims to Medicare and Medicaid for medically unnecessary annual re-testing of allergy patients between January 1, 2014, and November 11, 2018. The government alleges that between October 1, 2016, and September 30, 2017, DOCS and Sidana submitted false claims to Medicare and Medicaid for immunotherapy services that were not medically necessary, and were not directly supervised by a physician. In early 2014, DOCS and Sidana started providing allergy testing and treatment services to their patients. Direct supervision requires the supervising physician to be present in the same office suite, and immediately available to render assistance if needed. Some services also have supervision requirements, and allergy tests and the preparation of allergy immunotherapy must be directly supervised by a physician. Medicare and Connecticut Medicaid pay only for services or items that are medically necessary. Sidana is a physician who specializes in pulmonology and is the owner and Chief Executive Officer of DOCS, a medical practice with more than 20 facilities throughout Connecticut that offers a variety of services to its patients, including primary and urgent care, allergy testing and treatment, and COVID testing. The agreement also resolves allegations that Sidana and DOCS improperly billed for certain office visits associated with COVID-19 tests. (doing business as Docs Medical), DOCS MEDICAL INC., DOCS URGENT CARE LLP, LUNG DOCS OF CT, P.C., EPIC FAMILY PHYSICIANS, LLP, and CONTINUUM MEDICAL GROUP, LLC (collectively, “DOCS”), have entered into a civil settlement agreement with the federal and state governments in which they will pay a total of $4,267,950.21 to resolve allegations that they submitted false claims for payment to Medicare and the Connecticut Medicaid program for medically unnecessary allergy services, unsupervised allergy services, and services improperly billed as though provided by Sidana. Department of Health and Human Services, Office of the Inspector General, today announced that JASDEEP SIDANA, M.D. They will do a continued evaluation and assessment of your test results, and will ultimately design a personalized treatment plan for you.Vanessa Roberts Avery, United States Attorney for the District of Connecticut, and Phillip Coyne, Special Agent in Charge for the U.S. When the test results point to the presence of OSA, your doctor will immediately refer you to one of our licensed sleep specialists located at our Norwalk or Orange locations. If results do not reflect OSA, then your doctor may want to perform additional testing to further analyze your symptoms. If results indicate that you suffer from OSA, your primary care doctor will refer you to a sleep specialist. Once they have completed their review, they will reach out to schedule a follow up appointment with you to go over all their findings. At the completion of the test, the accumulated data is shared with your primary care doctor who will analyze and assess all the information. Here at the Waterbury clinic, we offer all our valued patients insight on how to perform the sleep test, and how to properly attach and align the sleep sensors.Ī complete record is generated during the testing period, reflecting all sleep and breathing activities. From sleep patterns to monitoring how many times you stop breathing while sleeping, all results are essential to your diagnosis. The various results accumulated during the at-home sleep apnea testing are studied and analyzed by one of our doctors in their efforts to define whether or not you suffer from a sleep disorder.
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