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Riverside Spine & Pain Physicians, PL and Riverside Surgical Center Agreed to Pay $1.7 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Upcoded Claims

After they self-disclosed conduct to OIG, Riverside Spine & Pain Physicians, LLC d/b/a Riverside Spine & Pain Physicians, PL and Riverside Surgical Center, LLC (collectively, "Riverside"), Florida, agreed to pay $1,765,080.48 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Riverside billed for triamcinolone acetonide injections under Healthcare Common Procedure Coding System (HCPCS) Code J3300, but was actually using triamcinolone diacetate, which should have been billed under HCPCS Code J3302.

Action Details

  • Date:October 30, 2018
  • Enforcement Types:
    • Fraud Self-Disclosures