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Steward Medical Group Agreed to Pay $196,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Medically Unnecessary Services

After it self-disclosed conduct to OIG, Steward Medical Group, (SMG), Massachusetts, agreed to pay OIG $196,677 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that SMG presented improper claims to federal health care programs for: (1) physician office visits by established patients of an employed physician; and (2) intraoperative ultrasounds during partial nephrectomies under CPT code 76998-26. OIG alleged these claims were improper because they were not supported by accurate medical record documentation.

Action Details

  • Date:June 25, 2018
  • Enforcement Types:
    • Fraud Self-Disclosures