Enforcement Actions

Showing 1–20 of 1,284 actions

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ClearChoiceMD Agreed to Pay $37,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Were Not Rendered
April 21, 2022
- Fraud Self-Disclosures
Clarity Clinic and Clarity Clinic Arlington Heights Agreed to Pay $344,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims that Misidentified Rendering Providers
April 20, 2022
- Fraud Self-Disclosures
Concord Eye Center Agreed to Pay $103,000 for Allegedly Violating the Civil Monetary Penalties Law Submitting Claims for Services Provided by Uncredentialed Providers
April 20, 2022
- Fraud Self-Disclosures
York Surgical Associates, Dr. Daniel Growney, and Dr. Ye Ye Agreed to Pay $43,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Upcoded Claims
April 19, 2022
- CMP and Affirmative Exclusions
Eventus WholeHealth Agreed to Pay $327,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Were Not Rendered or Were Medically Unnecessary
April 19, 2022
- Fraud Self-Disclosures
Riverside Park SurgiCenter Agreed to Pay $192,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
April 8, 2022
- Fraud Self-Disclosures
Dr. Vinay Malviya and Vinay Malviya, MD, PC Agreed to Be Excluded for 3 Years for Causing the Submission of False Claims for Medically Unnecessary Services
April 6, 2022
- CMP and Affirmative Exclusions
First Call Ambulance Agreed to Pay $164,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment
April 5, 2022
- CMP and Affirmative Exclusions
Baptist Memorial Hospital – North Mississippi Agreed to Pay $225,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
April 4, 2022
- Fraud Self-Disclosures
Royal Ambulance Agreed to Pay $363,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment
March 31, 2022
- CMP and Affirmative Exclusions
National Medical Services II Agreed to Pay $923,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Misidentified the Rendering Physician
March 30, 2022
- Fraud Self-Disclosures
Acadian Ambulance of Texas Agreed to Pay $373,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment
March 25, 2022
- CMP and Affirmative Exclusions
AltheaDx Agreed to Pay $72,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Tests Not Ordered by a Physician
March 21, 2022
- Fraud Self-Disclosures
Doctors on Wheels Was Excluded for Defaulting on Payment Obligations
March 18, 2022
- CMP and Affirmative Exclusions
Advanced Dermatology & Skin Cancer Center Agreed to Pay $50,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Office Supplies, Party Expenses, and Specimen Collection Expenses
March 15, 2022
- Fraud Self-Disclosures
Falcon Critical Care Transport Agreed to Pay $252,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment
March 11, 2022
- CMP and Affirmative Exclusions
Superior Air-Ground Ambulance Service Agreed to Pay $287,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment
March 11, 2022
- CMP and Affirmative Exclusions
Riverside Recovery Services Agreed to Pay $765,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
March 8, 2022
- CMP and Affirmative Exclusions
Harney County Health District Agreed to Pay $10,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
March 4, 2022
- Fraud Self-Disclosures
Heritage Health of Danville Agreed to Pay $10,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
March 3, 2022
- Fraud Self-Disclosures

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ClearChoiceMD Agreed to Pay $37,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Were Not Rendered

Clarity Clinic and Clarity Clinic Arlington Heights Agreed to Pay $344,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims that Misidentified Rendering Providers

Concord Eye Center Agreed to Pay $103,000 for Allegedly Violating the Civil Monetary Penalties Law Submitting Claims for Services Provided by Uncredentialed Providers

York Surgical Associates, Dr. Daniel Growney, and Dr. Ye Ye Agreed to Pay $43,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Upcoded Claims

Eventus WholeHealth Agreed to Pay $327,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Were Not Rendered or Were Medically Unnecessary

Riverside Park SurgiCenter Agreed to Pay $192,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Dr. Vinay Malviya and Vinay Malviya, MD, PC Agreed to Be Excluded for 3 Years for Causing the Submission of False Claims for Medically Unnecessary Services

First Call Ambulance Agreed to Pay $164,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment

Baptist Memorial Hospital – North Mississippi Agreed to Pay $225,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Royal Ambulance Agreed to Pay $363,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment

National Medical Services II Agreed to Pay $923,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Misidentified the Rendering Physician

Acadian Ambulance of Texas Agreed to Pay $373,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment

AltheaDx Agreed to Pay $72,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Tests Not Ordered by a Physician

Doctors on Wheels Was Excluded for Defaulting on Payment Obligations

Advanced Dermatology & Skin Cancer Center Agreed to Pay $50,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Office Supplies, Party Expenses, and Specimen Collection Expenses

Falcon Critical Care Transport Agreed to Pay $252,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment

Superior Air-Ground Ambulance Service Agreed to Pay $287,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment

Riverside Recovery Services Agreed to Pay $765,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Harney County Health District Agreed to Pay $10,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Heritage Health of Danville Agreed to Pay $10,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual