On December 7, the U.S. Department of Justice (DOJ) announced that it had reached a Settlement Agreement with Princeton Pathology Services P.A., a New Jersey pathology practice, regarding Princeton Pathology’s alleged violations of the False Claims Act (FCA).
The DOJ contended that, from 2015 to 2020, Princeton Pathology submitted claims to Medicare under CPT code 85390-26 without submitting the required medical documentation (i.e., written analysis by a pathologist). Pursuant to the Settlement Agreement, Princeton Pathology agreed to pay the U.S. government $2.4 million.
Princeton Pathology also entered into an Integrity Agreement with the U.S. Department of Health and Human Services’ Office of Inspector General (OIG), under which the practice agreed to comply with certain OIG monitoring, auditing, and training requrements for a period of three years.
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