Enforcement Actions

Showing 21–40 of 597 actions

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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
Advanced O&P Solutions Agreed to Pay $66,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
January 8, 2021
- Provider Self-Disclosures
Barrington Terrace of Boynton Beach Agreed to Pay $5.7 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Skilling Nursing Based Upon Incomplete Certifications
January 6, 2021
- Provider Self-Disclosures
University Medical Associates of The Medical University of South Carolina Agreed to Pay $81,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Upcoded Anesthesiology Services
December 30, 2020
- Provider Self-Disclosures
Palomar Health Agreed to Pay $3 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Therapy Services that Lacked Medical Necessity
December 21, 2020
- Provider Self-Disclosures
St. Joseph’s Hospital Agreed to Pay $729,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Free or Below Market Value Space, Equipment, and Services
December 21, 2020
- Provider Self-Disclosures

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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

Advanced O&P Solutions Agreed to Pay $66,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Barrington Terrace of Boynton Beach Agreed to Pay $5.7 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Skilling Nursing Based Upon Incomplete Certifications

University Medical Associates of The Medical University of South Carolina Agreed to Pay $81,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Upcoded Anesthesiology Services

Palomar Health Agreed to Pay $3 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Therapy Services that Lacked Medical Necessity

St. Joseph’s Hospital Agreed to Pay $729,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Free or Below Market Value Space, Equipment, and Services