An RT was awarded $131,200 in economic and emotional damages, as well as $500,000 in punitive damages by a jury, but the sleep center where she worked strongly denied wrongdoing, reports The Fresno Bee.

In her lawsuit, Casillas said doctors left the responsibility to her to have face-to-face evaluations with patients on continuous positive airway pressure, a treatment that keeps the airways open for people who have sleep apnea and other breathing problems. The patient and Medicare were later billed for a doctor’s visit, even though the patient was not seen by a doctor, the lawsuit said.