The Justice Department announced today that Janzen, Johnston & Rockwell Emergency Medicine Management Services Inc. (JJ&R), who handles billing services for physicians, hospitals and other health care providers, was accused of submitting false claims to Medicare and Louisiana’s Medicaid program and has agreed to settle and pay the United States $4.6 million.
JJ&R exaggerated claims that it had coded on behalf of emergency room physicians in Louisiana and California. Also, JJ&R did not regularly follow Medicare’s coding rules for governing the submission of teaching physicians claims. Le Jeanne Harris, a former employee of JJ&R, came forward with the allegations and the lawsuit was filed under the FCA. U.S. Attorney’s Office for the Middle District of Louisiana, as well as HHS Office of the Inspector General (OIG) and the Commercial Litigation Branch – Fraud Section of the Justice Department’s Civil Division handled the matter.