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SpecialtyCare Surgical Assist Agreed to Pay $247,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Provided by Unqualified Individuals

After it self-disclosed conduct to the OIG, SpecialtyCare Surgical Assist, LLC (SCSA), Florida, agreed to pay $247,024.19 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that SCSA knowingly presented to Medicare, Medicaid, and TRICARE claims for items or services that SCSA knew or should have known were not provided as claimed and were false or fraudulent. Specifically, the OIG contends that SCSA billed the above programs for assistant-at-surgery services provided by certified surgical assistants and registered nurse first assistants, when these programs reimburse such services only if provided by physicians and/or physician assistants.

Action Details

  • Date:May 24, 2013
  • Enforcement Types:
    • Fraud Self-Disclosures