Maine Doctor Agrees to Pay $629,000 to Settle Allegations of Medicare Fraud

A Maine doctor has agreed to pay $629,000 in a civil settlement agreement with the Department of Justice (DOJ) to resolve allegations that he received Medicare reimbursements for fraudulently prescribing orthotic braces.

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As part of the civil settlement agreement, announced on Friday by U.S. Attorney for the District of Maine Darcie McElwee, Jamie P. Loggins, M.D., agreed to pay a total of $629,056 to resolve allegations that he defrauded the government in violation of the federal False Claims Act.

Under federal Medicare statutes and regulations, providers may only bill for services that are actually provided and that are deemed medically reasonable and necessary.

According to federal prosecutors, from September 2018 through November 2022, while working with a telemedicine company, Loggins allegedly billed Medicare for payment for medical services that were neither medically reasonable nor necessary.

Specifically, the government alleged that Loggins, while providing telemedicine consultations, would review intake forms with purported complaint information and sign off on prescriptions for orthotic braces that were not medically necessary.

The DOJ further alleged that there was no valid prescriber-patient relationship in these instances, and that frequently the intake forms included multiple complaints and prescriptions of braces for each individual beneficiary.

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Loggins cooperated with the investigation and did not admit liability for submitting false claims to the government, according to the DOJ.

This case was investigated by the U.S. Department of Health and Human Services, Office of Inspector General.

According to his MD.com profile, Loggins is a General Surgeon at Central Maine Medical Center in Lewiston.