A San Francisco-based telehealth company and its chief medical officer have agreed to pay $3.325 million to resolve False Claims Act allegations of billing federal healthcare programs and California insurers under the names of providers who did not actually render or supervise the services, the Justice Department said in a June 10 news release.
Circle Medical Care of California, Circle Medical Technologies and CMO Nicole Tsang, DO, allegedly submitted claims to Medicare, Medicaid, TriCare and California commercial insurers between January 2018 and May 2025 using incorrect provider identities and failed to properly supervise the nurse practitioners and physician assistants who delivered care to patients. Circle will pay $475,000 to the United States and $2.85 million to California.
The case was initiated through a whistleblower complaint and the claims are allegations only with no determination of liability.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.