Enforcement Actions

Showing 21–40 of 582 actions Sorted by date

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
Sweetwater Hospital Association Agreed to Pay $141,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Misidentified the Rendering Providers
December 21, 2020
- Provider Self-Disclosures
Suncoast Dermatology and Skin Surgery Center, Dr. Ralph Massullo, Jr., and Dr. William Welton III Agreed to Pay $2.3 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims Associated with Lesions
December 16, 2020
- Provider Self-Disclosures
Trevose Ambulatory Surgery Care Agreed to Pay $88,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Free or Below Fair Market Value Leased Space
December 16, 2020
- Provider Self-Disclosures
Maple Knoll Communities Agreed to Pay $29,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services by an Unlicensed Nurse
December 10, 2020
- Provider Self-Disclosures
Avantara Evergreen Park, Grove of Berwyn, and Grove of LaGrange Agreed to Pay $10,000 f or Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
November 18, 2020
- Provider Self-Disclosures
Southern Maryland Medical Group Agreed to Pay $198,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Automatic Nervous System Testing That Were Not Medically Necessary
November 6, 2020
- Provider Self-Disclosures
Ingalls Memorial Hospital Agreed to Pay $10,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
October 27, 2020
- Provider Self-Disclosures
Kroger Agreed to Pay $346,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Prescriptions Filled by Unlicensed Pharmacists and Paying Remuneration in the Form of Price Reductions on Prescriptions
October 27, 2020
- Provider Self-Disclosures
Saint Peter’s University Hospital and New Brunswick Cardiac Cath Lab Agreed to Pay $3 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Lease Payments Made on a Per-Procedure Basis
October 20, 2020
- Provider Self-Disclosures
Nashoba Valley Medical Center Agreed to Pay $1.4 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Inpatient Psychiatry Services Without Proper Certifications and Treatment Plans
October 13, 2020
- Provider Self-Disclosures
Steward Holy Family Hospital Agreed to Pay $6.9 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Inpatient Psychiatry Services Without Proper Certifications and Treatment Plans
October 13, 2020
- Provider Self-Disclosures
OSF Little Company of Mary Medical Center Agreed to Pay $271,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
October 5, 2020
- Provider Self-Disclosures
RehabCare Agreed to Pay $266,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Free Wellness Classes
October 2, 2020
- Provider Self-Disclosures
Evergreen Home Healthcare Agreed to Pay $36,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Home Health Services that Were Not Rendered
September 14, 2020
- Provider Self-Disclosures
St. Vincent Hospital and MetroWest Medical Center Agreed to Pay $41,000 for Allegedly Violating the Civil Monetary Penalties Law by Contracting with an Excluded Individual
August 19, 2020
- Provider Self-Disclosures

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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

Sweetwater Hospital Association Agreed to Pay $141,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Misidentified the Rendering Providers

Suncoast Dermatology and Skin Surgery Center, Dr. Ralph Massullo, Jr., and Dr. William Welton III Agreed to Pay $2.3 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims Associated with Lesions

Trevose Ambulatory Surgery Care Agreed to Pay $88,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Free or Below Fair Market Value Leased Space

Maple Knoll Communities Agreed to Pay $29,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services by an Unlicensed Nurse

Avantara Evergreen Park, Grove of Berwyn, and Grove of LaGrange Agreed to Pay $10,000 f or Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Southern Maryland Medical Group Agreed to Pay $198,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Automatic Nervous System Testing That Were Not Medically Necessary

Ingalls Memorial Hospital Agreed to Pay $10,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

Kroger Agreed to Pay $346,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Prescriptions Filled by Unlicensed Pharmacists and Paying Remuneration in the Form of Price Reductions on Prescriptions

Saint Peter’s University Hospital and New Brunswick Cardiac Cath Lab Agreed to Pay $3 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Lease Payments Made on a Per-Procedure Basis

Nashoba Valley Medical Center Agreed to Pay $1.4 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Inpatient Psychiatry Services Without Proper Certifications and Treatment Plans

Steward Holy Family Hospital Agreed to Pay $6.9 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Inpatient Psychiatry Services Without Proper Certifications and Treatment Plans

OSF Little Company of Mary Medical Center Agreed to Pay $271,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

RehabCare Agreed to Pay $266,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Free Wellness Classes

Evergreen Home Healthcare Agreed to Pay $36,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Home Health Services that Were Not Rendered

St. Vincent Hospital and MetroWest Medical Center Agreed to Pay $41,000 for Allegedly Violating the Civil Monetary Penalties Law by Contracting with an Excluded Individual