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The Forum at the Crossing and Five Star Quality Care Agreed to Pay $121,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Physical Therapy Services that Were Not Provided as Claimed

After it self-disclosed conduct to OIG, Five Star Crossing LLC d/b/a The Form at the Crossing and Five Star Quality Care, Inc. (Fiver Star), Indiana, agreed to pay $121,855.01 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Fiver Star submitted claims to Medicare for physical therapy services that were improperly documented by a physical therapist formerly employed by Fiver Star. OIG further alleged that the improper documentation included photocopied signed and unsigned physician certifications of plans of care that were whited-out, edited, and sometimes faxed back to physician for signature; and documentation that did not meet certain progress report requirements.

Action Details

  • Date:August 12, 2014
  • Enforcement Types:
    • Fraud Self-Disclosures