Summa Health Agreed to Pay $19,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing Excluded Individuals and Submitted Claims for Services or Equipment Ordered by Excluded Physicians
After they self-disclosed conduct to OIG, Summa Health, Summa Health System, Summa Health Medical Group, and SummaCare, Inc. (collectively “Summa”), Ohio, agreed to pay $19,880.28 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Summa employed an individual that it knew or should have known was excluded from participation in Federal health care programs. OIG also alleged that Summa employed an individual that it knew or should have known was on the Ohio Provider Medicaid Exclusion and Suspension List. OIG further alleged that Summa billed the Medicaid program or paid for claims through its Medicare Advantage Plan, SummaCare, for services or durable medical equipment ordered by three physicians who were excluded and who were not on the Summa Health medical staff.
Action Details
- Date:January 31, 2022
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Enforcement Types:
- Fraud Self-Disclosures