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Riverside Medical Group and Riverside Shore Memorial Hospital Agreed to Pay $527,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Medically Unnecessary or Upcoded Services

After they self-disclosed conduct to OIG, Riverside Physician Services, Inc. d/b/a Riverside Medical Group (RMP) and Shore Health Services, Inc. d/b/a Riverside Shore Memorial Hospital (Shore), Virginia, agreed to pay $527,932.50 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that an RMG-employed podiatrist submitted claims to Federal health care programs for services that were upcoded and not covered or medically necessary. OIG further contends that Shore submitted provider-based facility claims to Federal health care programs connected to certain services the podiatrist provided at Shore’s provider-based clinics.

Action Details

  • Date:October 16, 2023
  • Enforcement Types:
    • Fraud Self-Disclosures