Enforcement Actions

• City of Hammond Agreed to Pay $247,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services by an Uncertified EMT

  March 7, 2018

  • Fraud Self-Disclosures

• Florida Hospital Medical Group Agreed to Pay $298,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Not Provided as Claimed

  March 5, 2018

  • Fraud Self-Disclosures

• Nazareth Living Care Center Agreed to Pay $3.9 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Skilled Nursing Services that Were Not Provided as Claimed

  Feb. 23, 2018

  • Fraud Self-Disclosures

• Scotland Memorial Hospital Agreed to Pay $252,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Upcoded Claims

  Feb. 20, 2018

  • Fraud Self-Disclosures

• Northwell Health Agreed to Pay $12.7 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Spinal Procedures that Were Not Provided as Claimed or Medically Unnecessary

  Feb. 13, 2018

  • Fraud Self-Disclosures

• Atlanta Dental Agreed to Pay $125,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Dental Services Provided by Non-Credentialed Dentists

  Feb. 9, 2018

  • Fraud Self-Disclosures

• CHRISTUS Agreed to Pay $148,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Renumeration to a Medical Distributorship Owned by a Physician that was Above Fair Market Value

  Feb. 9, 2018

  • Fraud Self-Disclosures

• Highland Rivers Health Agreed to Pay $133,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Psychiatric Telehealth Services at Locations Ineligible for Telehealth Reimbursement

  Feb. 8, 2018

  • Fraud Self-Disclosures

• Rustburg Agreed to Pay $60,000 for Allegedly Violating the Civil Monetary Penalties Law for Submitting Claims to Medicare Part D for Unapproved Drugs

  Jan. 31, 2018

  • Fraud Self-Disclosures

• UF Health Jacksonville and University of Florida Jacksonville Physicians Agreed to Pay $4.4 Million for Allegedly Violating the Civil Monetary Penalties Law for Presenting Medically Unnecessary Claims for Hospital and Professional Services

  Jan. 30, 2018

  • Fraud Self-Disclosures

• Sunrise Homes Agreed to Pay $15,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

  Jan. 23, 2018

  • Fraud Self-Disclosures

• Wahiawa General Hospital Agreed to Pay $100,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

  Jan. 17, 2018

  • Fraud Self-Disclosures

• St. Agnes Healthcare Agreed to Pay $2.2 Million for Allegedly Violating the Civil Monetary Penalties Law by paying Remuneration to a Physician in the Form of Excessive Compensation

  Jan. 5, 2018

  • Fraud Self-Disclosures

• East Tennessee Personal Care Services Agreed to Pay $85,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

  Jan. 3, 2018

  • Fraud Self-Disclosures

• Cavalier County Memorial Hospital Association Agreed to Pay $750,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration to Two Physicians and a Nurse Practitioner in the Form of Excessive Compensation

  Dec. 22, 2017

  • Fraud Self-Disclosures

• Seton Medical Center Agreed to Pay $27,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Medicare Claims for Cataract Extraction Procedures that Were Not Provided as Claimed

  Dec. 20, 2017

  • Fraud Self-Disclosures

• Heart Center of Philadelphia Agreed to Pay $50,000 for Allegedly Violating the Civil Monetary Penalties Law by Receiving Remuneration from a Laboratory Company in the Form of Improper Processing Fees

  Dec. 19, 2017

  • Fraud Self-Disclosures

• Friendly Medical Transportation Agreed to Pay $54,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

  Dec. 12, 2017

  • Fraud Self-Disclosures

• Warm Springs Medical Center and Warm Springs Nursing Home Agreed to Pay $253,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

  Dec. 12, 2017

  • Fraud Self-Disclosures

• Keystone Behavioral Pediatrics Agreed to Pay $26,000 for Allegedly Violating the Civil Monetary Penalties Law by Presenting Claims for Behavioral Health Supervision Services that Were Not Provided

  Dec. 6, 2017

  • Fraud Self-Disclosures

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