Samuel U. Rogers Health Center Agreed to Pay $196,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Imaging Services without Pre-Authorization and Services Not Provided as Claimed

After it self-disclosed conduct to OIG, Samuel U. Rogers Health Center (SURHC), Missouri, agreed to pay $196,013.37 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that SURHC submitted claims to Missouri Medicaid for imaging services without pre-authorization, as required under Missouri Medicaid, and resubmitted claims for services that had been denied with a CPT code not reflective of the services rendered, resulting in improper payment.

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