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Personal Care Agreed to Pay $255,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment

On August 11, 2023, Personal Care Inc. (Personal Care), Charleston, South Carolina, entered into a $255,041.59 settlement agreement with OIG. The settlement agreement resolves allegations that Personal Care presented claims to Medicare Part B for ambulance transportation to and from skilled nursing facilities (SNFs) where such transportation was already covered by the SNF consolidated billing payment under Medicare Part A. OIG's Office of Audit Services and Office of Counsel to the Inspector General, represented by Senior Counsel Srishti Sheffner, Senior Counsel Andrea Treese Berlin and Associate Counsel Shawnda Atkins with the assistance of Paralegal Specialist Jennifer Hilton, collaborated to achieve this resolution.

Action Details

  • Date:August 11, 2023
  • Enforcement Types:
    • CMP and Affirmative Exclusions