Enforcement Actions

Showing 1–20 of 582 actions Sorted by date

Diagnostic Imaging and Luminis Health Doctors Community Medical Center Agreed to Pay $52,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Medically Unnecessary MRIs
May 27, 2021
- Provider Self-Disclosures
UnityPoint Clinic – John Deere Road Family Medicine Agreed to Pay $62,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services by an Unlicensed Individual
May 13, 2021
- Provider Self-Disclosures
Community Physicians of Indiana Agreed to Pay $585,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Not Provided as Claimed
May 11, 2021
- Provider Self-Disclosures
AIT Laboratories Agreed to Pay $1.5 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration to Sober Homes in the Form of Free Specimen Collection Personnel and Forging Contracts and Orders for Laboratory Services
May 7, 2021
- Provider Self-Disclosures
John F. Kennedy Memorial Hospital and Emanuel Medical Center Agreed to Pay $371,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
May 5, 2021
- Provider Self-Disclosures
Three Ascension Texas Hospitals Agreed to Pay $20.9 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration to Physician Groups Inconsistent with Fair Market Value Services
April 30, 2021
- Provider Self-Disclosures
Westchester Anesthesiologists, PC and MEDNAX Services Agreed to Pay $550,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims that Misidentified Rendering Providers
April 30, 2021
- Provider Self-Disclosures
Quest Diagnostics Incorporated Agreed to Pay $50,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Holiday Party Expenses
April 28, 2021
- Provider Self-Disclosures
Dr. Kenneth J. Patterson and Kenneth Patterson, DDS, LLC Agreed to Pay $310,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims for Dental Services
April 26, 2021
- Provider Self-Disclosures
Emergency Medical Services Authority Agreed to Pay $250,000 for Allegedly Violating the Civil Monetary Penalties Law Submitting Claims for Services by an Unlicensed Individual
April 14, 2021
- Provider Self-Disclosures
HealthONE Radiation Therapy at Red Rocks Agreed to Pay $3.5 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims for Radiation and Oncology Services
April 1, 2021
- Provider Self-Disclosures
Red Rocks Radiation and Oncology, Alliance HealthCare Services, and Dr. Kevin Schewe Agreed to Pay $754,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims for Radiation and Oncology Services
April 1, 2021
- Provider Self-Disclosures
Swedish Medical Center Agreed to Pay $67,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
March 19, 2021
- Provider Self-Disclosures
Outreach Health Services of Oklahoma Agreed to Pay $15,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Provided at Locations that Were Not Properly Licensed
March 16, 2021
- Provider Self-Disclosures
TidalHealth Nanticoke Agreed to Pay $179,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services by Unlicensed Nurse
March 5, 2021
- Provider Self-Disclosures
Virginia Hospital Center Agreed to Pay $6 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Office Space, Office Staff, and Services Rendered Under Call Coverage Arrangements
February 23, 2021
- Provider Self-Disclosures
University Medical Center of Southern Nevada Agreed to Pay $128,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Payments for Services Not Included in a Personal Services Contract
February 10, 2021
- Provider Self-Disclosures
Mercy Health Oklahoma Communities Agreed to Pay $10,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
February 8, 2021
- Provider Self-Disclosures
Consulate Health Care of West Altamonte Agreed to Pay $33,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services by an Unlicensed Nurse
February 2, 2021
- Provider Self-Disclosures
Children’s Hospital Los Angeles Medical Group Agreed to Pay $373,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Radiology Services that Lacked Proper Supervision
January 27, 2021
- Provider Self-Disclosures

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Diagnostic Imaging and Luminis Health Doctors Community Medical Center Agreed to Pay $52,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Medically Unnecessary MRIs

UnityPoint Clinic – John Deere Road Family Medicine Agreed to Pay $62,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services by an Unlicensed Individual

Community Physicians of Indiana Agreed to Pay $585,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Not Provided as Claimed

AIT Laboratories Agreed to Pay $1.5 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration to Sober Homes in the Form of Free Specimen Collection Personnel and Forging Contracts and Orders for Laboratory Services

John F. Kennedy Memorial Hospital and Emanuel Medical Center Agreed to Pay $371,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Three Ascension Texas Hospitals Agreed to Pay $20.9 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration to Physician Groups Inconsistent with Fair Market Value Services

Westchester Anesthesiologists, PC and MEDNAX Services Agreed to Pay $550,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims that Misidentified Rendering Providers

Quest Diagnostics Incorporated Agreed to Pay $50,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Holiday Party Expenses

Dr. Kenneth J. Patterson and Kenneth Patterson, DDS, LLC Agreed to Pay $310,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims for Dental Services

Emergency Medical Services Authority Agreed to Pay $250,000 for Allegedly Violating the Civil Monetary Penalties Law Submitting Claims for Services by an Unlicensed Individual

HealthONE Radiation Therapy at Red Rocks Agreed to Pay $3.5 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims for Radiation and Oncology Services

Red Rocks Radiation and Oncology, Alliance HealthCare Services, and Dr. Kevin Schewe Agreed to Pay $754,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims for Radiation and Oncology Services

Swedish Medical Center Agreed to Pay $67,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Outreach Health Services of Oklahoma Agreed to Pay $15,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Provided at Locations that Were Not Properly Licensed

TidalHealth Nanticoke Agreed to Pay $179,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services by Unlicensed Nurse

Virginia Hospital Center Agreed to Pay $6 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Office Space, Office Staff, and Services Rendered Under Call Coverage Arrangements

University Medical Center of Southern Nevada Agreed to Pay $128,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Payments for Services Not Included in a Personal Services Contract

Mercy Health Oklahoma Communities Agreed to Pay $10,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Consulate Health Care of West Altamonte Agreed to Pay $33,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services by an Unlicensed Nurse

Children’s Hospital Los Angeles Medical Group Agreed to Pay $373,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Radiology Services that Lacked Proper Supervision