NASHVILLE - United States Attorney Braden H. Boucek for the Middle District of Tennessee announced today that Pitts Therapies, LLC (Pitts Therapies), doing business as Cornerstone Pediatric Therapies (Cornerstone or the Clinic), has agreed to pay $300,000 to the United States to settle allegations that Cornerstone violated the False Claims Act by excessively billing TRICARE for certain billing codes. Cornerstone operates a clinic in Clarksville, Tennessee, that provides pediatric therapy, including speech therapy, to children who are autistic, non-verbal, or speech-delayed.

The United States alleged that Cornerstone improperly caused false claims to be submitted to TRICARE in two categories. First, the United States contended that the Clinic billed TRICARE for two units of a billing code per day, per beneficiary, when only one unit of that code per day, per beneficiary, was allowed, from 2020 through October 2022. Second, the United States alleged that Cornerstone billed TRICARE for two different billing codes for certain services, when only one such code was payable, from 2020 through mid-2025. That practice is commonly referred to as "unbundling."

"Our office will always seek to protect taxpayer dollars from false claims," said United States Attorney Braden H. Boucek. "This resolution means that the taxpayers will get their money back and sends a message that these kinds of false claims will not be tolerated in our community."

The Defense Health Agency (DHA) supports the delivery of TRICARE, the program that provides integrated, affordable, high-quality healthcare services to more than 9.6 million uniformed service members, retirees, and their families. TRICARE is the government health program that was allegedly defrauded in this case.

"Holding fraudulent providers accountable is essential to safeguarding TRICARE, our military's primary health care program," said Special Agent in Charge Jason J. Sargenski of the Department of Defense Office of Inspector General's Defense Criminal Investigative Service, Southeast Field Office. "By aggressively combating health care fraud, we ensure critical resources remain dedicated to the care our service members, retirees, and their families have earned. This settlement reinforces a clear standard that those who seek to exploit our health systems and beneficiaries will be investigated and pursued."

The civil claims settled by this Settlement Agreement are allegations only, and there has been no determination of liability.

The resolution of this matter was the result of an investigation by the Defense Criminal Investigative Service, assisted by the Army Criminal Investigative Division, and the U.S. Attorney's Office. Assistant U.S. Attorney Ellen Bowden McIntyre represented the United States.

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