Civil Monetary Penalties Can Stack Up For Health Care Providers

June 18, 2014 by Robert J. Cochran, Partner | Sherry A. Fabina-Abney, Partner | Bradley L. Williams, Senior Counsel
Health care providers face more scrutiny than ever before. Government investigations contain numerous pitfalls for the unwary. Learn how we can help through our guide, “Provider Beware – The Collateral Consequences of a Guilty Plea.” An excerpt follows:

Civil Monetary Penalties Can Stack Up For Health Care Providers

The OIG can also impose civil monetary penalties against any person who submits false claims to Medicare or Medicaid, or causes false claims to be submitted to these programs. Your guilty plea will establish that you prescribed or dispensed a controlled substance to a particular patient on a particular date, without a legitimate medical purpose. If the patient used Medicare or Medicaid to cover the prescription drugs, then the OIG might conclude that you caused false claims to be submitted to Medicare and Medicaid. As a result, OIG could seek to impose civil monetary penalties against you. These civil monetary penalties can be substantial – $10,000 for each item or service improperly claimed and an assessment of up to three times the amount improperly claimed.



Provider Beware - The Collateral Consequences of a Guilty Plea


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