West Virginia Physician Agreed to Be Excluded for 10 Years for Allegedly Unbundling Injections
A physician agreed to be excluded from participating in Federal health care programs for a period of ten years under 42 U.S.C. § 1320a-7(b)(7). OIG alleged that the physician unbundled injections to the origin/insertion site of a tendon in a single office visit under CPT code 20551, when Medicare and Medicaid laws and regulations require such injections to be bundled and billed as a single claim under CPT code 20553.
Action Details
- Date:October 2, 2013
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Enforcement Types:
- CMP and Affirmative Exclusions