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Harvard Vanguard Medical Associates Agreed to Pay $168,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Behavioral Health Services Not Covered

After it self-disclosed conduct to OIG, Harvard Vanguard Medical Associates, Inc. (HVMA), Massachusetts, agreed to pay $168,687 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that HVMA submitted claims to Medicare, Medicare's Atrius Health Pioneer Accountable Care Organization, and Massachusetts Medicaid using CPT codes 90805 and 90807 for services provided by a physician when the services rendered by the physician did not meet the coverage requirements for CPT codes 90805 and 90807.

Action Details

  • Date:April 7, 2014
  • Enforcement Types:
    • Fraud Self-Disclosures