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Centegra Health Systems and Centegra Primary Care Agreed to Pay $398,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Upcoded Patient Encounters and Other Professional Services

After it self-disclosed conduct to OIG, Centegra Health Systems and Centegra Primary Care, LLC (Centegra), Illinois, agreed to pay $398,053.31 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Centegra improperly submitted claims to Medicare and Medicaid for medical services performed by a physician based on CPT codes that resulted in greater payment than the code applicable to the services actually provided.

Action Details

  • Date:March 7, 2014
  • Enforcement Types:
    • Provider Self-Disclosures