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The University of Nevada School of Medicine, Multispecialty Group Practice South Agreed to Pay $12,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Not Provided as Claimed

After it self-disclosed conduct to OIG, the University of Nevada School of Medicine, Multispecialty Group Practice South, Inc. (UNSOM) agreed to pay $12,194.66 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that UNSOM submitted claims to Medicare and Medicaid for items or services that it knew or should have known were not provided as claimed and were false or fraudulent. Specifically, OIG alleged that UNSOM: (1) billed for hand replantation surgeries that were not provided; (2) billed for a fasciocutaneous advancement flap that was not performed; (3) submitted a claim for a left hand crush injury but the operative report did not support billing for that procedure; and (4) billed for replacement of a breast expander without documentation supporting billing for the CPT code associated with that procedure.

Action Details

  • Date:September 20, 2018
  • Enforcement Types:
    • Fraud Self-Disclosures