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Saint Luke’s Health System Agreed to Pay $142,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Interventional Radiology Services that Were Covered by Bundled Payments

After it self-disclosed conduct to the OIG, Saint Luke's Health System (SLPS), Missouri, agreed to pay $142,740 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that SLPS improperly billed Medicare and Medicaid for interventional radiology services furnished by a radiology practitioner assistant (RPA) in SLPS's Radiology Department. Specifically, SLPS separately and improperly billed Medicare for services furnished by an RPA even though, under Medicare rules, payment for services furnished by an RPA in a hospital setting are bundled and paid to the hospital as part of its facility payment.

Action Details

  • Date:July 12, 2013
  • Enforcement Types:
    • Fraud Self-Disclosures