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Palomar Health Agreed to Pay $3 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Therapy Services that Lacked Medical Necessity

After it self-disclosed conduct to OIG, Palomar Health, California, agreed to pay $3,084,315.48 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Palomar Health submitted claims to Federal health care programs through its Intensive Outpatient Psychiatric program for outpatient therapy services that lacked medical necessity and were not supported by the medical records.

Action Details

  • Date:December 21, 2020
  • Enforcement Types:
    • Provider Self-Disclosures