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Millennium Healthcare Management Agreed to Pay $321,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Upcoded Claims

After it self-disclosed conduct to OIG, Millennium Healthcare Management, Inc. (MHM), with locations in Louisiana, agreed to pay $321,411 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that MHM submitted claims at twelve urgent care centers that were not supported by sufficient documentation to justify the assigned code level, primarily because: (1) there was insufficient detail on the Patient Family and Social History component in the patient's record, and/or (2) there was insufficient detail to support the inclusion of Medical Decision Making as a component in determining the code level.

Action Details

  • Date:May 23, 2018
  • Enforcement Types:
    • Provider Self-Disclosures