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Sentara Healthcare Agreed to Pay $4.3 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Improper Claims for Observation Services

After it self-disclosed conduct to OIG, Sentara Healthcare (Sentara), Virginia, agreed to pay $4,330,218 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Sentara submitted, or caused the submission of, improper claims for observation services provided to patients discharged from the emergency departments of Sentara’s hospitals when there was inadequate support for the medical necessity or reasonableness or for the amount of units, or when there was no physician order for the observation services provided.

Action Details

  • Date:July 1, 2021
  • Enforcement Types:
    • Fraud Self-Disclosures