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OIG Excludes District of Columbia Nuclear Cardiologist

On March 31, 2015, a District of Columbia nuclear cardiologist was excluded from participation in all Federal health care programs for a period of seventeen years under 42 U.S.C. § 1320a-7(b)(7). The cardiologist rendered and billed Federal health care programs for nuclear cardiology services, including myocardial perfusion imaging single-photon emission computed tomography (MPI SPECT) procedures (commonly known as nuclear stress tests). OIG's investigation revealed the claims billed for MPI SPECT procedures and related services that did not comply with applicable Federal health care program rules and regulations. The cardiologist also unbundled and separately billed for services that were contemplated as being part of the reimbursement for the MPI SPECT studies and double-billed for multi-study MPI SPECT procedures. Senior Counsels Kaitlyn Dunn and Jill Wright represented OIG.

Action Details

  • Date:May 31, 2015
  • Enforcement Types:
    • CMP and Affirmative Exclusions