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Staten Island University Hospital Agreed to Pay $1.1 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Improper Claims for Walk-In and Home-Drawn Lab Services

After it self-disclosed conduct to OIG, Staten Island University Hospital (SIUH), New York, agreed to pay $1,132,489.61 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that SIUH knowingly submitted claims to Medicare for walk-in and home-drawn lab services that were performed at one of SIUH's outpatient lab facilities that it knew or should have known were false because they lacked sufficient documentation in one or more of the following areas: (1) the claims at issue lacked a signature or adequate medical documentation supporting the physician's intent to have the lab test performed, (2) the claims at issue lacked a date of request for lab services to be performed, or (3) the claims at issue for home-drawn lab services lacked a physician's order directing collection of the specimen in a patient's home.

Action Details

  • Date:January 23, 2017
  • Enforcement Types:
    • Provider Self-Disclosures