Metropolis Dermatology Agreed to Pay $140,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Incident-to Services Not Covered

After it self-disclosed conduct to OIG, James Y. Wang, M.D., Inc. d/b/a Metropolis Dermatology (Metropolis), Los Angeles, California, agreed to pay $140,547.68 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Metropolis submitted claims for “incident to” services that did not satisfy the “incident to” requirements because they were provided during initial visits with new patients or during visits with existing patients during which a new plan of care was established. OIG also contended that some of the “incident to” services were provided by providers who were not yet enrolled at the time of the service.