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Memorial Hermann Health System Agreed to Pay $5.6 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Upcoded Claims for Outpatient Services

After it self-disclosed conduct to OIG, Memorial Hermann Health System (MHHS), Texas, agreed to pay $5,652,628.00 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that MHHS improperly submitted claims to Federal health care programs for certain outpatient services that automatically appended modifiers 59 or 91 to Current Procedural Terminology codes.

Action Details

  • Date:October 18, 2016
  • Enforcement Types:
    • Fraud Self-Disclosures