Fairview Urgent Care Agreed to Pay $73,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims that Incorrectly Identified the Rendering Provider

After it self-disclosed conduct to OIG, Fairview Urgent Care, LLC (Fairview), Georgia, agreed to pay $73,641.66 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Fairview submitted claims to Medicare for services provided by a physician assistant (PA) using a physician’s NPI thereby receiving reimbursement at the physician rate. OIG contends this was inappropriate because the PA had been denied Medicare enrollment and the physician did not provide the services. OIG further contends that Fairview submitted claims to TRICARE for the PA’s services when they were not credentialed as a TRICARE provider.

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