Printed from:

Welcome to Columbia Magazine  

Kentucky allergists agree to pay $740,578 to resolve false claims

Settlement covers alleged improper billing
Click on headline for complete story

From U.S Attorney's Office
U.S. Justice Department, Western District of Kentucky

LOUISVILLE, KY (Thu 15 Jun 2017) - Kentucky allergists Bruce Wolf and Kiro John Yun, have agreed to pay $740,578 to resolve alleged violations of the False Claims Act, announced United States Attorney John E. Kuhn, Jr. Wolf and Yun, P.S.C. (W&Y) is a medical practice group of otolaryngologists specializing in allergy, asthma and immunology with offices located in Bardstown, Elizabethtown and Leitchfield, KY.

The government alleged that W&Y submitted false claims when billing Medicare, TRICARE and the Federal Employees Health Benefits Program (FEHBP). District of Kentucky.

"Losses caused by health care fraud amount to tens of billions of dollars every year," said U.S. Attorney John Kuhn, of the Western District of Kentucky. "Often those losses are passed along to consumers in the form of increased costs. For that reason, my office will work with federal, state, and local law enforcement to uncover these activities and recover every dollar."

The settlement resolves the government's allegations that W&Y improperly billed Medicare, TRICARE and FEHBP for Sublingual Immunotherapy serum preparation and overstated units of serum preparation for injection vials, under CPT Code 95165, and for testing under CPT Code 95024 during the following periods of January 1, 2010, and October 31, 2015 for Medicare; between June 1, 2010, and September 30, 2015, for TRICARE: and between January 1, 2010, and August 31, 2015 for FEHB.

Sublingual immunotherapy (SLIT), is an alternative way to treat allergies without injections whereby an allergist prescribes a patient with an allergen that is sprayed under the tongue to boost tolerance to substances and reduce symptoms. SLIT treatments are not covered by Medicare and other payors because it is considered investigational and thus not a billable procedure.

This case was investigated by the United States Attorney's Office for the Western District of Kentucky and was prosecuted by Assistant United States Attorney Ben Schecter of the Western

This story was posted on 2017-06-16 04:13:38
Printable: this page is now automatically formatted for printing.
Have comments or corrections for this story? Use our contact form and let us know.


To sponsor news and features on ColumbiaMagazine, please use our contact form.


Quick Links to Popular Features content is available as an RSS/XML feed for your RSS reader or other news aggregator.
Use the following link:

Contact us: Columbia Magazine and are published by D'Zine, Ltd., PO Box 906, Columbia, KY 42728.
Phone: 270-250-2730 Fax: 270-751-0401

Please use our contact page, or send questions about technical issues with this site to All logos and trademarks used on this site are property of their respective owners. All comments remain the property and responsibility of their posters, all articles and photos remain the property of their creators, and all the rest is copyright 1995-Present by Columbia! Magazine and D'Zine, Ltd. Privacy policy: use of this site requires no sharing of information. Voluntarily shared information may be published and made available to the public on this site and/or stored electronically. Anonymous submissions will be subject to additional verification. Cookies are not required to use our site. However, if you have cookies enabled in your web browser, some of our advertisers may use cookies for interest-based advertising across multiple domains. For more information about third-party advertising, visit the NAI web privacy site.