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Radiology Alliance Agreed to Pay $355,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Radiology Services Not Provided as Claimed

After it self-disclosed conduct to OIG, Radiology Alliance, PC (Radiology Alliance), Tennessee, agreed to pay $355,461.34 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Radiology Alliance submitted claims to Federal health care programs that were false or fraudulent in the following ways: (1) services were performed by two radiology practitioner assistants that were supervised by Radiology Alliance’s physicians as if they were personally provided by the physicians; (2) in certain instances Radiology Alliance billed for nursing practitioner and physician assistant services using the supervising physician’s billing number at the supervising physician’s billing rate; and (2) billed for the insertion of peripherally inserted central catheter lines by hospital nurses and radiology technicians that were supervised by Radiology Alliance’s physicians as if those services were directly provided by the physicians.

Action Details

  • Date:June 17, 2016
  • Enforcement Types:
    • Provider Self-Disclosures