Enforcement Actions

Showing 1–20 of 655 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
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
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
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
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
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
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
River Hospital Agreed to Pay $20,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
March 2, 2022
- Fraud Self-Disclosures
Lee Health and Cape Coral Hospital Agreed to Pay $12.7 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Did Not Meet Coverage Criteria
February 28, 2022
- Fraud Self-Disclosures
New London Hospital Association Agreed to Pay $10,000 for Allegedly Violating the Civil Monetary Penalties Law by Retaining Medicare and Medicaid Overpayments
February 28, 2022
- Fraud Self-Disclosures
Always Home Nursing Services Agreed to Pay $281,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
February 25, 2022
- Fraud Self-Disclosures
Regions Hospital and Group Health Plan Agreed to Pay $372,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Medically Unnecessary Services
February 25, 2022
- Fraud Self-Disclosures
Rodriquez-Aquino, MD PA Agreed to Pay $24,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
February 22, 2022
- Fraud Self-Disclosures
Appalachian Regional Health Agreed to Pay $21,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
February 15, 2022
- Fraud Self-Disclosures
Summa Health Agreed to Pay $19,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing Excluded Individuals and Submitted Claims for Services or Equipment Ordered by Excluded Physicians
January 31, 2022
- Fraud Self-Disclosures
Bret Gene Ball Agreed to Pay $438,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Lacked Proper Supervision
January 25, 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

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

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

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

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

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

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

River Hospital Agreed to Pay $20,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Lee Health and Cape Coral Hospital Agreed to Pay $12.7 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Did Not Meet Coverage Criteria

New London Hospital Association Agreed to Pay $10,000 for Allegedly Violating the Civil Monetary Penalties Law by Retaining Medicare and Medicaid Overpayments

Always Home Nursing Services Agreed to Pay $281,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Regions Hospital and Group Health Plan Agreed to Pay $372,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Medically Unnecessary Services

Rodriquez-Aquino, MD PA Agreed to Pay $24,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Appalachian Regional Health Agreed to Pay $21,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Summa Health Agreed to Pay $19,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing Excluded Individuals and Submitted Claims for Services or Equipment Ordered by Excluded Physicians

Bret Gene Ball Agreed to Pay $438,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Lacked Proper Supervision