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Charlotte Gastroenterology & Hepatology Agreed to Pay $389,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Incident-to Services Not Covered

After it self-disclosed conduct to OIG, Charlotte Gastroenterology & Hepatology, PLLC (CGH), North Carolina, agreed to pay $389,930.67 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that CGH submitted claims for services provided by advanced care practitioners (e.g., physician assistants and nurse practitioners) but billed as “incident-to” a physician’s service when the services did not satisfy the incident-to requirements because they were for new patient visits or when there was a change to a patient’s plan of care.

Action Details

  • Date:February 7, 2024
  • Enforcement Types:
    • Fraud Self-Disclosures