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Violation Tracker Individual Record

Company: Medicus Laboratories, LLC
Penalty: $5,000,000
Year: 2014
Date: February 14, 2014
Offense Group: healthcare-related offenses
Primary Offense: HHS civil monetary penalties
Violation Description: Medicus Laboratories, LLC agreed to pay $5,000,000 for allegedly violating the Civil Monetary Penalties Law by submitting false or fraudulent claims to Medicare as follows: 1) by inappropriately using Modifier 59 to submit claims for payment for multiple units of HCPCS code G0431 when only a single unit may be billed per patient encounter; and 2) by inappropriately submitting claims for HCPCs codes 83986 (pH of body fluid), 82570 (creatinine, other sources), 81005 (urinalysis, qualitative or semi-quantitative, except immunoassays), and 81003 (urinalysis, by dip stick or table reagent) when the testing was for screening purposes and was not medically reasonable and necessary.
Level of Government: federal
Action Type: agency action
Agency: Health & Human Services Department Office of Inspector General
Civil or Criminal Case: civil
Facility State: Texas
Source of Data: (click here)
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Current parent company note: Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.