Pitts Therapies, LLC, operating as Cornerstone Pediatric Therapies in Clarksville, Tennessee, has agreed to pay $300,000 to the United States following allegations of improper billing practices involving TRICARE claims, according to an April 28 announcement by United States Attorney Braden H. Boucek for the Middle District of Tennessee.
The settlement addresses concerns about protecting taxpayer funds and ensuring accountability in federal healthcare programs. The U.S. Attorney’s Office for the Middle District of Tennessee enforces federal laws and represents the United States in efforts to improve quality of life across its jurisdiction according to the official website.
Federal authorities alleged that from 2020 through October 2022, Cornerstone billed TRICARE for two units per day of a specific billing code per beneficiary when only one unit was allowed. Additionally, from 2020 through mid-2025, it was alleged that Cornerstone billed for two different codes for certain services when only one was payable—a practice known as “unbundling.” “Our office will always seek to protect taxpayer dollars from false claims,” said 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.”
TRICARE is a government health program providing care for more than 9.6 million uniformed service members and their families. Special Agent in Charge Jason J. Sargenski of the Department of Defense Office of Inspector General’s Defense Criminal Investigative Service said: “Holding fraudulent providers accountable is essential to safeguarding TRICARE, our military’s primary health care program… 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 resolved by this agreement are allegations only; there has been no determination of liability.
The U.S. Attorney’s Office for the Middle District of Tennessee is part of the U.S. Department of Justice according to its official website, covers 32 counties in middle Tennessee, prosecutes federal criminal cases and manages civil litigation for the United States, collaborates with law enforcement agencies to enhance community safety, and operates primarily out of Nashville while coordinating operations throughout its region as reported on its official website.
