United States Flag

An official website of the United States government. Here's how you know >

Skip Navigation Change Font Size

CIA Reportable Event Settlements

Providers under a Corporate Integrity Agreements (CIA) or Integrity Agreements (IA) with the OIG are required to disclose certain "Reportable Events" which include: a substantial overpayment, a matter that a reasonable person would consider a probable violation of criminal, civil, or administrative laws applicable to any Federal health care program for which penalties or exclusion may be authorized; and the employment of or contracting with an excluded individual. Matters disclosed to the OIG as a Reportable Event may implicate OIG's Civil Monetary Penalty authorities.

01-12-2017
After it disclosed conduct to OIG pursuant to its CIA, Pediatric Services of America, Inc. (PSA), agreed to pay $197,556.66 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that PSA, at one of its locations in Pennsylvania, employed an individual that it knew or should have known was excluded from participation in Federal health care programs.
10-26-2016
After it disclosed conduct to OIG pursuant to its CIA, WakeMed Health & Hospitals (WakeMed), North Carolina, agreed to pay $146,235.38 for allegedly violating the Civil Monetary Penalties Law provisions applicable to physician self-referrals and kickbacks. OIG alleged that WakeMed paid remuneration to one non-employed medical director in the form of medical director fees.
08-31-2016
After it disclosed conduct to OIG pursuant to its CIA, DaVita Healthcare Partners (DaVita), headquartered in Colorado, agreed to pay $5,008,732.14 for allegedly violating the Civil Monetary Penalties Law provisions applicable to physician self-referrals and kickbacks. OIG alleged that DaVita paid remuneration to five physician practices in the form of Medical Director fees that DaVita knew were in excess of fair market value.
After it disclosed conduct to OIG pursuant to its CIA, DaVita Healthcare Partners (DaVita), headquartered in Colorado, agreed to pay $175,049 for allegedly violating the Civil Monetary Penalties Law provisions applicable to physician self-referrals and kickbacks. OIG alleged that DaVita paid remuneration to two hospitals in the form of admitting patients who had been discharged from the hospitals without a payor source, and absorbing the costs of the patients' treatment. DaVita failed to enter into agreements with the hospitals to ensure that payments for services were received prior to DaVita's admission of and provision of care to these patients.
05-06-2016
After it disclosed conduct to OIG pursuant to its CIA, Amedisys, Inc. (Amedisys), headquartered in Louisiana, agreed to pay $4,677,642 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Amedisys filed claims to Medicare for home health services that were not medically necessary and did not meet the requirements for payment under Medicare.
03-23-2015
After it disclosed conduct to OIG pursuant to its CIA, LifeWatch Services, Inc. (LifeWatch), Illinois, agreed to pay $737,572.50 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that LifeWatch submitted claims to Medicare for Ambulatory Cardiac Telemetry (ACT) services for which the medical record documentation did not support that the physician had ordered ACT services.
02-04-2015
After it disclosed conduct to OIG pursuant to its CIA, W.A. Foote Memorial Hospital d/b/a Allegiance Health (Allegiance), Michigan, agreed to pay $2,635,441.35 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Allegiance submitted claims to Federal health care programs for hyperbaric oxygen therapy services that did not meet Provider-Based Regulations.
12-18-2014
After it disclosed conduct to OIG pursuant to its CIA, WakeMed Raleigh Campus (WakeMed), North Carolina, agreed to pay $364,062.51 for allegedly violating the Civil Monetary Penalties Law provisions applicable to physician self-referrals and kickbacks. OIG alleged that WakeMed paid remuneration to a cardiology practice and physician to render medical director services and cardiac electrophysiology services to WakeMed patients. OIG alleged that WakeMed paid below-fair market value for these services.
07-14-2014
After it disclosed conduct to OIG pursuant to its CIA, Omnicare, Inc. (Omnicare), headquartered in Ohio, agreed to pay $138,513.00 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Omnicare employed an individual that it knew or should have known was excluded from participation in Federal health care programs.
05-01-2014
After it disclosed conduct to the OIG pursuant to its CIA, Quest Diagnostics, Incorporated (Quest), New Jersey, agreed to pay $152,560.51 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Quest employed four individuals that it knew or should have known were excluded from participation in Federal health care programs.
01-27-2014
After it disclosed conduct to OIG pursuant to its IA, Decatur Vein Clinic, LLC, Decatur Vein Clinic, PC, and Decatur Vein Clinic Hobart, PC (Decatur), Indiana, agreed to pay $140,000.00 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Decatur billed and received reimbursement for catheter-infusion sclerotherapy procedures as well as other procedures for the care and treatment for varicose veins of the lower extremities that were not provided as claimed and were false or fraudulent.
07-01-2013
After it disclosed conduct to the OIG pursuant to its CIA, Amerigroup Corporation (Amerigroup), Virginia, agreed to pay $30,754.93 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Amerigroup contracted with three individuals that it knew or should have known were excluded from participation in Federal health care programs and paid for prescriptions written by a fourth individual that it knew or should have known were excluded from participation in Federal health care programs.
03-11-2013
After it disclosed conduct to the OIG pursuant to its CIA, Vanguard HealthCare, LLC (Vanguard), Tennessee, agreed to pay $159,778.00 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Vanguard employed an individual that it knew or should have known was excluded from participation in Federal health care programs.
11-16-2012
After it disclosed conduct to the OIG pursuant to its CIA, Touro Infirmary (Touro), Louisiana, agreed to pay $427,561.59 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Touro employed an individual that it knew or should have known was excluded from participation in Federal health care programs.
10-12-2012
After he disclosed conduct to the OIG pursuant to his IA, Dr. Akram Abraham d/b/a Abraham Medical Clinic (Dr. Abraham), Massachusetts, agreed to pay $43,014.80 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Dr. Abraham employed an individual that he knew or should have known was excluded from participation in Federal health care programs.
09-21-2012
After it disclosed conduct to the OIG pursuant to its CIA, Decatur Vein Clinic (Decatur), Indiana, agreed to pay $41,898.94 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Decatur employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201