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Diagnostic Imaging Company Agrees to Voluntary Exclusion

On November 8, 2019, Lakeshore Diagnostic Ultrasound Co. (Lakeshore), Essexville, Michigan, agreed to be excluded for a period of five years under 42 U.S.C. 1320a-7(b)(7). OIG's investigation revealed that Lakeshore submitted claims for Current Procedural Terminology (CPT) code 96965 for the same dates of service on which it submitted claims for CPT code 93970 or 93971. OIG contends that Lakeshore's submission of claims for CPT code 93965 were for a procedure that was already included as a component of the duplex ultrasound procedures for which Lakeshore submitted claims using CPT codes 93970 or 93971 for the same beneficiary on the same dates of service. Senior Counsels Geoffrey Hymans and Joan Matlack, with the assistance of Program Analyst Mariel Filtz, represented OIG.

Action Details

  • Date:November 8, 2019
  • Enforcement Types:
    • CMP and Affirmative Exclusions