Indiana Lab Settles Case Involving False and Fraudulent Claims
On July 20, 2015 American Institute of Technology (AIT), Indiana, entered into a settlement agreement with OIG and agreed to pay $229,924.74 for allegedly violating the Civil Monetary Penalties Law. The settlement agreement resolves conduct that was investigated by OIG as well as conduct that was self-disclosed by AIT. OIG's investigation revealed that AIT inappropriately used Modifiers 59 and 91 to submit claims for payment for multiple units of HCPCS code G0431 when only a single unit may be billed per patient encounter. Also, AIT self-disclosed to OIG that it had employed an individual that it knew or should have known was excluded from participation in Federal health care programs. The excluded individual, a clinical technician, provided items and services to AIT patients that were billed to Federal health care programs. Senior Counsels Andrea Treese Berlin and Geoffrey Hymans represented OIG.
- Date:July 20, 2015
- CMP and Affirmative Exclusions