TMJ centers settle false claims case for $1M

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A company doing business as TMJ & Orofacial Pain Treatment Centers of Wisconsin will pay $1 million to resolve allegations that the centers submitted false claims to Medicare and TRICARE, a health-care provider for service members and their families.

L.M.G., Inc. operates four TMJ & Orofacial Pain Treatment Centers of Wisconsin in the Milwaukee area. The U.S. Attorney’s Office accused the treatment centers of falsely billing Medicare and TRICARE for oral appliances using billing codes for more expensive devices.

The U.S. Attorney’s Office said the investigation resulted from a whistleblower lawsuit filed under the qui tam provisions of the False Claims Act. The whistleblower will receive a share of the settlement amount, and as part of the settlement, the government and whistleblower will ask the court to dismiss the qui tam complaint.

Settlement amount: $1 million

Date of resolution: Jan. 15, 2020

Case type: Settlement

Plaintiff’s lawyer: Assistant United States Attorney Michael Carter, assisted by the Office of Inspector General and the Defense Criminal Investigative Service Follow @WLJReporter