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Planned Parenthood Health System Agreed to Pay $1.5 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Medicaid Service Not Provided as Claimed

After it self-disclosed conduct to OIG, Planned Parenthood Health System, Inc. (Planned Parenthood), incorporated in North Carolina, agreed to pay $1,572,752.80 for potentially violating the Civil Monetary Penalties Law. Planned Parenthood submitted claims to Medicaid programs in North Carolina, South Carolina, Virginia and West Virginia that included the following billing errors: (1) services billed under a provider number different than the medical professional who provided the service and (2) billed for services of non-physician practitioners who were not properly enrolled in their state Medicaid program.

Action Details

  • Date:June 24, 2016
  • Enforcement Types:
    • Provider Self-Disclosures