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The Regents of the University of California Agreed to Pay $5.3 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Upcoded Claims

After it self-disclosed conduct to OIG, The Regents of the University of California on behalf of the University of California San Diego Health System (UCSD), California, agreed to pay $5,315,927.49 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that UCSD submitted claims to Federal health care programs for hospital inpatient services that should have been billed as hospital outpatient or observation services. OIG further alleged that UCSD submitted claims to Federal health care programs for critical care management services where the documentation did not support billing under Current Procedural Terminology codes 99291 or 99292.

Action Details

  • Date:August 13, 2019
  • Enforcement Types:
    • Provider Self-Disclosures