TBA Law Blog


Posted by: Stacey Shrader Joslin on Jan 26, 2024

The owner and operator of a network of orthopedic clinics in the Memphis area has agreed to pay the state of Tennessee more than $540,000 to resolve allegations that it improperly billed TennCare for the use of compounded steroids at its practices. Tennessee Attorney General Jonathan Skrmetti announced the settlement saying, “In the past few years, Tennessee has seen increasing numbers of clinics using fraudulent billing rates for compounded drugs” and that his office will continue to “hold fraudulent medical billers accountable” and “protect the financial integrity of the TennCare system.” The action was brought against Tri-State Orthopedics LLC and Dr. Apurva Dalal for allegedly using a compounded version of a drug but billing TennCare for a higher cost, commercially available version.