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St. Vincent Medical Group Agreed to Pay $111,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Evaluation and Management Services that Were Not Provided as Claimed

After it self-disclosed conduct to OIG, St. Vincent Medical Group, Inc. (St. Vincent), Indiana, agreed to pay $111,057.05 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that St. Vincent submitted claims to Medicare and Medicaid for items or services that it knew or should have known were not provided as claimed or were false or fraudulent. Specifically, OIG contended that St. Vincent submitted claims for evaluation and management services performed by a physician that did not meet applicable coding and documentation requirements.

Action Details

  • Date:May 14, 2015
  • Enforcement Types:
    • Provider Self-Disclosures