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St. Agnes Hospital Agreed to Pay $257,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Not Provided as Claimed

After it self-disclosed conduct to OIG, St. Agnes Healthcare, Inc. d/b/a St. Agnes Hospital (St. Agnes), Maryland, agreed to pay $257,594.16 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that St. Agnes submitted improper claims for a combination of CPT codes 93965 (noninvasive physiologic studies of extremity veins, complete bilateral study) and 93970/93971 (duplex scan of extremity veins, complete bilateral study/unilateral or limited study) for the same patient on the same date of service when the codes represent technologies that serve the same diagnostic purpose.

Action Details

  • Date:July 20, 2018
  • Enforcement Types:
    • Fraud Self-Disclosures