Billing company hit with first-ever penalty by HHS in Medicare case

Modern Healthcare: The owner and operator of a New Jersey billing company will pay a $100,000 penalty after submitting fraudulent Medicare claims for diagnostic tests that were never conducted, marking the first such penalty for a billing company from HHS' Office of Inspector General.

Susan Toy and her company, Millennium Billing, submitted claims to Medicare for a physician-owned obstetrics and gynecology practice, knowing that the underlying diagnostic tests were never performed, according to the OIG. She received compensation from the practice—the Center for Advanced Pelvic Surgery—for these actions.

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