Susan Toy, through her medical billing company Millennium Billing, submitted claims to Medicare for an obstetrics and gynecology physician practice in New Jersey. She coded and submitted claims according to superbills provided by the practice, which listed services purportedly performed during a patient encounter.
OIG investigators contend Ms. Toy submitted claims for current procedural terminology code 91122 for patient encounters when the procedure was not indicated as performed on the superbill. This caused Millennium Billing to receive additional compensation from the client.
Ms. Toy agreed to pay a civil monetary penalty of $100,000 and will be excluded from participating in federal healthcare programs for a minimum of five years.
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