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Atlantic Gastroenterology Agreed to Pay $120,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Upcoded Services and Services Not Provided as Claimed

After it self-disclosed conduct to OIG, Atlantic Gastroenterology, P.A. (Atlantic), North Carolina, agreed to pay $120,073.50 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Atlantic submitted claims for evaluation and management services provided by a former physician employee under CPT codes 99231, 99232, and 99233, that were not provided as claimed and were billed at levels unsupported by the record documentation.

Action Details

  • Date:December 3, 2013
  • Enforcement Types:
    • Fraud Self-Disclosures