Southern Maine Physician Agrees to Settle Civil Health Care Fraud Case

Douglas J. Jorgensen, D.O. has entered into a civil settlement agreement with the United States in which he will pay $124,110 to resolve allegations that from January 2011 through August 2014 he submitted false claims to Medicare. 

According to a civil complaint filed today, Dr. Jorgensen is alleged to have violated the federal False Claims Acts by submitting claims for certain evaluation and management (“E&M”) services that were not eligible for payment under Medicare and submitting those claims knowing, deliberately ignoring or recklessly disregarding that they were false.  Dr. Jorgensen was not entitled to be paid for those E&M services because they were provided in connection with, and integral to, osteopathic manipulative treatment Dr. Jorgensen performed on the same day.

In total, Dr. Jorgensen received $62,055 from the Medicare Trust Fund to which he was not entitled.  The settlement amount represents twice the amount of damages incurred by the Medicare program.

The case was investigated by the U.S. Department of Health & Human Services, Office of Inspector General.  The civil action is docketed United States v. Douglas J. Jorgensen, D.O., 1:17-cv-271-JAW (D. Me.).